KYLE DEMBOWIAK MD
NPI 1235499815
Family Medicine in Antigo, WI

Active since May 17, 2012PECOS EnrolledAccepts Medicare Assignment
76.95/100
CMS Quality Rating
112 E 5TH AVE, ANTIGO, WI 54409(715) 623-2331 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kyle Dembowiak Md NPPES

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

KYLE DEMBOWIAK MD (NPI 1235499815) is an individual family medicine provider in Antigo, Wisconsin, licensed in Wisconsin (62206) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235499815
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKYLE DEMBOWIAKCredential: MD
Location Address112 E 5TH AVEAntigo, WI 54409-2710
Mailing Address112 E 5th AveAntigo, WI 54409-2710 · (715) 623-2331
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 17, 2012
Last NPPES UpdateJuly 8, 2015
NPI 1235499815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 62206
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.
112 E 5TH AVE, Antigo, WI 54409

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

Kyle Dembowiak 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 ID7517271539
PECOS Enrollment IDI20150805006698
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
187 services68 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.
70 services64 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.
42 services41 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Merrill Hospital

Critical Access Hospitals · Merrill, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521339
Location601 S Center AveMerrill, WI 54452 · Lincoln County
Emergency services

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54409 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.52
Promoting Interoperability100
Improvement Activities40
Cost25.22

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.

Physical Therapist
112 E 5TH AVE
ANTIGO, WI 54409
Occupational Therapist (Hand)
112 E 5TH AVE
ANTIGO, WI 54409
Speech-Language Pathologist
112 E 5TH AVE
ANTIGO, WI 54409
Physical Therapist
112 E 5TH AVE
ANTIGO, WI 54409
Physical Therapist
112 E 5TH AVE
ANTIGO, WI 54409
Nurse Practitioner (Family)
112 E 5TH AVE
ANTIGO, WI 54409
Dietitian, Registered (Nutrition, Renal)
112 E 5TH AVE
ANTIGO, WI 54409
Registered Nurse
112 E 5TH AVE
ANTIGO, WI 54409

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 Kyle Dembowiak's NPI number?

The NPI number for Kyle Dembowiak is 1235499815. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Kyle Dembowiak located?

Kyle Dembowiak practices at 112 E 5th Ave, Antigo, WI 54409. The listed phone number is (715) 623-2331.

What is Kyle Dembowiak's specialty?

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

Is Kyle Dembowiak enrolled in Medicare?

Yes. Kyle Dembowiak 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 Kyle Dembowiak accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Kyle Dembowiak 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 Kyle Dembowiak affiliated with any hospitals?

According to CMS data, Kyle Dembowiak is affiliated with Aspirus Wausau Hospital, Aspirus Merrill Hospital and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Dembowiak was last updated on July 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.