DR. ADAM NAKER
NPI 1124403027
Family Medicine in Kenosha, WI

Active since July 21, 2015PECOS EnrolledAccepts Medicare Assignment
7540 22ND AVE, KENOSHA, WI 53143(262) 656-7800 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2023, Nov 4, 2021, Apr 17, 2020 (3 updates tracked since 2020).

About Dr. Adam Naker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADAM NAKER (NPI 1124403027) is an individual family medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (75767) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains a secondary practice location in Waukesha.

NPPES Registry Identity

NPI1124403027
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ADAM NAKER
Location Address7540 22ND AVEKenosha, WI 53143-5702
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (262) 656-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 21, 2015
Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1124403027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 75767
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPharmacistTaxonomy 183500000X · License 18058 (WI)
7540 22ND AVE, Kenosha, WI 53143

Secondary Practice Location 1

Location 1210 NW Barstow St Ste 101Waukesha, WI 53188-3771 · Phone (262) 548-6903

Other Identifiers 1

Medicaid100176677WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Adam Naker is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961860630
PECOS Enrollment IDI20230628001339
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
7540 22ND AVE
KENOSHA, WI 53143
Physical Therapy Assistant
7540 22ND AVE
KENOSHA, WI 53143
Pharmacy (Clinic Pharmacy)
7540 22ND AVE
KENOSHA, WI 53143
Durable Medical Equipment & Medical Supplies
7540 22ND AVE
KENOSHA, WI 53143
Nurse Practitioner
7540 22ND AVE
KENOSHA, WI 53143
Pharmacist
7540 22ND AVE
KENOSHA, WI 53143
Physician Assistant
7540 22ND AVE
KENOSHA, WI 53143
Family Medicine
7540 22ND AVE
KENOSHA, WI 53143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Naker's NPI number?

The NPI number for Adam Naker is 1124403027. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Where is Adam Naker located?

Adam Naker practices at 7540 22nd Ave, Kenosha, WI 53143. The listed phone number is (262) 656-7800.

What is Adam Naker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adam Naker enrolled in Medicare?

Yes. Adam Naker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adam Naker accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Adam Naker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Naker affiliated with any hospitals?

According to CMS data, Adam Naker is affiliated with Froedtert South Inc. and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Adam Naker was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.