GLEN J KEMP JR. MD
NPI 1205927282
Orthopaedic Surgery in Fond Du Lac, WI

Q: What is Glen Kemp's NPI number?

The NPI number for Glen Kemp is 1205927282. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Glen Kemp's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Kemp was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 27, 2006PECOS Enrolled

421 CAMELOT DR, FOND DU LAC, WI 54935(920) 926-8616(920) 926-8098 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2020, Feb 29, 2016 (2 updates tracked since 2016).

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About Glen J Kemp Jr. Md NPPES

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

GLEN J KEMP JR. MD (NPI 1205927282) is an individual orthopaedic surgery provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (32999) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205927282

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameGLEN J KEMP JR.Credential: MD

Location Address421 CAMELOT DRFond Du Lac, WI 54935-8335

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340 · Fax (920) 926-8370

Phone(920) 926-8616

Fax(920) 926-8098

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration

NPPES CertifiedOctober 21, 2020

✔ NPI 1205927282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WI · 32999

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

421 CAMELOT DR, Fond Du Lac, WI 54935

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Other Identifiers 2

Medicaid31820000WI

OtherP00861896WI · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen J Kemp Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Glen Kemp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agnesian Healthcare Inc

0.7 mi

Mental Health (Including Community Mental Health Center)

40 CAMELOT DR
Fond Du Lac, WI 54935

Reassigned Medicare billing, Wisconsin enrollment
606 clinicians in this Medicare group

NPI 1841320884 (920) 907-8201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

160 services24 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

27 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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 20

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

AGNESIAN HEALTHCARE INC

Durable Medical Equipment & Medical Supplies