MICHAEL DIDINSKY DO
NPI 1316928336
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Kenosha, WI

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
5.72/100
CMS Quality Rating
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142(262) 764-5595(262) 764-9314 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Didinsky Do NPPES

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

MICHAEL DIDINSKY DO (NPI 1316928336) is an individual orthopaedic surgery of the spine provider in Kenosha, Wisconsin, licensed in Wisconsin (48213) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1999).

NPPES Registry Identity

NPI1316928336
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameMICHAEL DIDINSKYCredential: DO
Location Address7401 104TH AVE, SUITE 110Kenosha, WI 53142-7845
Mailing Address7401 104th Ave, Suite 110Kenosha, WI 53142-7845 · (262) 764-5595 · Fax (262) 764-9314
Fax(262) 764-9314
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1999
Enumeration DateNovember 8, 2005
Last NPPES UpdateSeptember 19, 2018
NPI 1316928336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in WI · 48213
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 48213 (WI)
7401 104TH AVE, Kenosha, WI 53142

Other Identifiers 1

Medicaid43521500WI

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

Michael Didinsky Do 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 ID9830170109
PECOS Enrollment IDI20050822000777
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 10

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 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.
151 services133 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
136 services134 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.
97 services91 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.
87 services87 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
86 services62 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

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

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.

5.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost19.07

Referred Medical Equipment & Supplies CMS DME claims

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier12 claims12 services$658.99 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 12

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

Podiatrist (Foot & Ankle Surgery)
7401 104TH AVE, SUITE 110
KENOSHA, WI 53142
Obstetrics & Gynecology
7401 104TH AVE, SUITE 110
KENOSHA, WI 53142
Pain Medicine (Interventional Pain Medicine)
7401 104TH AVE, SUITE 110
KENOSHA, WI 53142
Orthopaedic Surgery
7401 104TH AVE, SUITE 110
KENOSHA, WI 53142
Orthopaedic Surgery
7401 104TH AVE, SUITE 110
KENOSHA, WI 53142
Internal Medicine (Rheumatology)
7401 104TH AVE, SUITE 110
KENOSHA, WI 53142
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
7401 104TH AVE, SUITE 110
KENOSHA, WI 53142
Podiatrist
7401 104TH AVE, SUITE 110
KENOSHA, WI 53142

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 Michael Didinsky's NPI number?

The NPI number for Michael Didinsky is 1316928336. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Michael Didinsky located?

Michael Didinsky practices at 7401 104th Ave Suite 110, Kenosha, WI 53142. The listed phone number is (262) 764-5595.

What is Michael Didinsky's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Michael Didinsky enrolled in Medicare?

Yes. Michael Didinsky 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 Michael Didinsky accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Michael Didinsky 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 Michael Didinsky affiliated with any hospitals?

According to CMS data, Michael Didinsky is affiliated with Froedtert South Inc. and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Michael Didinsky was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.