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DR. JONATHAN LIRON BEN-ZEV M.D.
NPI 1245681949
Orthopaedic Surgery in Pleasant Prairie, WI

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
9697 SAINT CATHERINES DR STE 200, PLEASANT PRAIRIE, WI 53158(262) 656-3591(262) 656-3591 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, Jul 25, 2022, Jun 24, 2016 (3 updates tracked since 2016).

About Dr. Jonathan Liron Ben-zev M.d. NPPES

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

DR. JONATHAN LIRON BEN-ZEV M.D. (NPI 1245681949) is an individual orthopaedic surgery provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (81353) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1245681949
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JONATHAN LIRON BEN-ZEVCredential: M.D.
Location Address9697 SAINT CATHERINES DR STE 200Pleasant Prairie, WI 53158-2118
Mailing Address9697 Saint Catherines Dr Ste 200Pleasant Prairie, WI 53158-2118 · (262) 656-3591 · Fax (262) 656-3591
Phone(262) 656-3591
Fax(262) 656-3591
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateJanuary 13, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1245681949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in WI · 81353✔ Licensed in MO · 2016018722
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.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 125079381 (IL)
9697 SAINT CATHERINES DR STE 200, Pleasant Prairie, WI 53158
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Other Names 1

Former Name (1)Dr. Jonathan Liron Ben-ze'ev

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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. Jonathan Liron Ben-zev M.d. 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 ID5890178891
PECOS Enrollment IDI20230327001394
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 7

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.
392 services36 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.
67 services45 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.
65 services51 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.
46 services37 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.
45 services45 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.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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.

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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Other Providers at the Same Location NPPES 3

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

DR. MICHAEL H. JACKER M.D.
Orthopaedic Surgery
9697 SAINT CATHERINES DR STE 200
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 656-3590
MS. SAMANTHA L HANKEY PA
Physician Assistant
9697 SAINT CATHERINES DR STE 200
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 656-3590
ELIZABETH J. SHIMEALL PA-C
Physician Assistant
9697 SAINT CATHERINES DR STE 200
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 656-3590

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 Jonathan Ben-zev's NPI number?

The NPI number for Jonathan Ben-zev is 1245681949. It was assigned to this individual provider in the NPPES registry on June 24, 2016. The provider is also known as Dr. Jonathan Liron Ben-Ze'ev.

Where is Jonathan Ben-zev located?

Jonathan Ben-zev practices at 9697 Saint Catherines Dr Ste 200, Pleasant Prairie, WI 53158. The listed phone number is (262) 656-3591.

What is Jonathan Ben-zev's specialty?

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

Is Jonathan Ben-zev enrolled in Medicare?

Yes. Jonathan Ben-zev 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 Jonathan Ben-zev accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health list Jonathan Ben-zev 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 Jonathan Ben-zev affiliated with any hospitals?

According to CMS data, Jonathan Ben-zev is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Jonathan Ben-zev was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.