DR. SOPHOS GEORGIO GEROULIS M.D.
NPI 1295820637
Psychiatry & Neurology - Neurology in Summit, WI

Q: What is Sophos Geroulis's NPI number?

The NPI number for Sophos Geroulis is 1295820637. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Sophos Geroulis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Sophos Geroulis was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 October 03, 2006PECOS EnrolledAccepts Medicare Assignment

36500 AURORA DR, SUMMIT, WI 53066(262) 434-5000 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2017, Nov 20, 2015 (2 updates tracked since 2015).

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About Dr. Sophos Georgio Geroulis M.d. NPPES

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

DR. SOPHOS GEORGIO GEROULIS M.D. (NPI 1295820637) is an individual neurology provider in Summit, Wisconsin, licensed in Wisconsin (49566-020) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1295820637

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. SOPHOS GEORGIO GEROULISCredential: M.D.

Location Address36500 AURORA DRSummit, WI 53066-4899

Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700

Phone(262) 434-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 3, 2006

Last NPPES UpdateDecember 28, 20172 updates tracked since enumeration

✔ NPI 1295820637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in WI · 49566-020

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 49566-020 (WI)

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License 49566-020 (WI)

36500 AURORA DR, Summit, WI 53066

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Other Identifiers 2

Other27-5013474WI · Neuroquest, Llc

Medicaid1295820637WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health 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. Sophos Georgio Geroulis 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 ID4587705942

PECOS Enrollment IDI20100107000073

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 11

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.

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.

117 services93 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

115 services96 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

109 services93 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

73 services67 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

53 services53 patients

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615

This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.

40 services15 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

38 services27 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

29 services29 patients

23 services19 patients

Measurement of brain wave activity (eeg), 61-119 minutes 95813

The procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.

19 services18 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520062

Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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 13

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers72 claims72 services$35.34 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers48 claims48 services$74.49 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers50 claims137 services$29.03 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers42 claims230 services$16.84 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers18 claims104 services$14.36 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

9 suppliers58 claims58 services$51.81 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.

BIJAN NEZAMI

Internal Medicine (Critical Care Medicine)

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

KEVIN L EGGLESTON M.D.

Hospitalist

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-4711

KODY LEWIS PA C

Physician Assistant

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

REBECCA M STRIET M.D.

Preventive Medicine (Undersea and Hyperbaric Medicine)

36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066

Waukesha County (262) 434-5000

REBECCA SUSA DPT, ATC-L

Physical Therapist

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-2600

VIJAY JOHNSON M.D

Internal Medicine (Critical Care Medicine)

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

MRS. KELLY S CAMPBELL ANP-BC

Nurse Practitioner

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

DR. BRETT MCLACHLAN M.D.

Emergency Medicine

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

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 Sophos Geroulis's NPI number?

The NPI number for Sophos Geroulis is 1295820637. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Sophos Geroulis located?

Sophos Geroulis practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-5000.

What is Sophos Geroulis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sophos Geroulis enrolled in Medicare?

Yes. Sophos Geroulis 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 Sophos Geroulis accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and UnitedHealthcare list Sophos Geroulis 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 Sophos Geroulis affiliated with any hospitals?

According to CMS data, Sophos Geroulis is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sophos Geroulis was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.