1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Preventive Medicine
  6. NPI Profile

KYLE JUSTIN DUBOSE D.O.
NPI 1285093104
Preventive Medicine - Undersea and Hyperbaric Medicine in Kenosha, WI

Active since February 20, 2016PECOS EnrolledAccepts Medicare Assignment
10400 75TH ST, KENOSHA, WI 53142(262) 942-5600(262) 948-7388 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, Jul 21, 2022, Dec 1, 2021 and 7 more (10 updates tracked since 2016).

About Kyle Justin Dubose D.o. NPPES

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

KYLE JUSTIN DUBOSE D.O. (NPI 1285093104) is an individual undersea and hyperbaric medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (67393) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1285093104
Entity TypeIndividualMale
Primary Taxonomy2083P0011X
Provider Legal NameKYLE JUSTIN DUBOSECredential: D.O.
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing Address2901 W Kinnickinnic River Pkwy Ste 309Milwaukee, WI 53215-3660 · (414) 649-1292
Phone(262) 942-5600
Fax(262) 948-7388
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2013
Enumeration DateFebruary 20, 2016
Last NPPES UpdateSeptember 5, 202310 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1285093104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
License✔ Licensed in WI · 67393
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
10400 75TH ST, Kenosha, WI 53142
Open in Google Maps ↗

Other Identifiers 1

Medicaid100068480WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners 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

Kyle Justin Dubose D.o. 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 ID7517238447
PECOS Enrollment IDI20170810001236
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.

Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
216 services16 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
212 services60 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.
128 services67 patients
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.
41 services28 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
37 services37 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine 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 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 53142 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
4 suppliers20 claims2,048 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier31 claims4,176 services$0.35 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
3 suppliers14 claims1,071 services$29.95 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
3 suppliers13 claims320 services$19.87 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers50 claims1,842 services$6.82 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6210
DME-Medical/Surgical Supplies · category DA023N
2 suppliers19 claims300 services$17.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. UZMA REZVI M. D.
Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DAVID B KITE PA
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-7000
MRS. SUSAN H. PERGANDE WHNP
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-6714
DAVID ERIC FARKAS MD
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Kenosha County (262) 697-7000
PAULA MICHELLE OSGOOD CRNA
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DOROTHY KATHERINE FREE
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
ZEBI FATIMA MD
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 942-5600
JENNIFER J JOHNSON RN
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5730

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 Dubose's NPI number?

The NPI number for Kyle Dubose is 1285093104. It was assigned to this individual provider in the NPPES registry on February 20, 2016.

Where is Kyle Dubose located?

Kyle Dubose practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 942-5600.

What is Kyle Dubose's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Is Kyle Dubose enrolled in Medicare?

Yes. Kyle Dubose 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 Dubose accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Kyle Dubose 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 Dubose affiliated with any hospitals?

According to CMS data, Kyle Dubose is affiliated with Ascension All Saints Hospital, Aurora St Lukes Medical Center and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Kyle Dubose was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.