DR. STEPHEN C KMECAK MD
NPI 1225145758
Surgery in Burlington, WI

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
709 SPRING VALLEY RD, BURLINGTON, WI 53105(262) 767-6020 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2025, Mar 7, 2023, Dec 1, 2021 (3 updates tracked since 2021).

About Dr. Stephen C Kmecak Md NPPES

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

DR. STEPHEN C KMECAK MD (NPI 1225145758) is an individual surgery provider in Burlington, Wisconsin, licensed in Wisconsin (34637) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and is a graduate of University Of Louisville School Of Medicine (1991).

NPPES Registry Identity

NPI1225145758
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. STEPHEN C KMECAKCredential: MD
Location Address709 SPRING VALLEY RDBurlington, WI 53105-7614
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1991
Enumeration DateAugust 23, 2006
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1225145758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WI · 34637
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
709 SPRING VALLEY RD, Burlington, WI 53105

Other Identifiers 1

Medicaid32365900WI

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. Stephen C Kmecak Md 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 ID2365516291
PECOS Enrollment IDI20080811000284
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 6

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.

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.
29 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520102
LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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.

Nurse Practitioner
709 SPRING VALLEY RD
BURLINGTON, WI 53105
Anesthesiology
709 SPRING VALLEY RD
BURLINGTON, WI 53105
Nurse Practitioner
709 SPRING VALLEY RD
BURLINGTON, WI 53105
Physician Assistant
709 SPRING VALLEY RD
BURLINGTON, WI 53105
Audiologist
709 SPRING VALLEY RD
BURLINGTON, WI 53105
Nurse Practitioner
709 SPRING VALLEY RD
BURLINGTON, WI 53105
Physician Assistant
709 SPRING VALLEY RD
BURLINGTON, WI 53105
Physician Assistant
709 SPRING VALLEY RD
BURLINGTON, WI 53105

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 Stephen Kmecak's NPI number?

The NPI number for Stephen Kmecak is 1225145758. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Stephen Kmecak located?

Stephen Kmecak practices at 709 Spring Valley Rd, Burlington, WI 53105. The listed phone number is (262) 767-6020.

What is Stephen Kmecak's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stephen Kmecak enrolled in Medicare?

Yes. Stephen Kmecak 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 Stephen Kmecak 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 Stephen Kmecak 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 Stephen Kmecak affiliated with any hospitals?

According to CMS data, Stephen Kmecak is affiliated with Aurora Memorial Hospital Burlington, Aurora Lakeland Medical Center, Aurora St Lukes Medical Center and Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Stephen Kmecak was last updated on September 17, 2025, 10 months ago. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. 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.