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WILLIAM BOEHM M.D.
NPI 1346213519
Internal Medicine in Waukesha, WI

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188(262) 549-3030 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Boehm M.d. NPPES

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

WILLIAM BOEHM M.D. (NPI 1346213519) is an individual internal medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (33446) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1991).

NPPES Registry Identity

NPI1346213519
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameWILLIAM BOEHMCredential: M.D.
Location AddressN14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.Waukesha, WI 53188-1135
Mailing AddressN14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc.Waukesha, WI 53188-1135 · (262) 549-3030
Phone(262) 549-3030
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1991
Enumeration DateFebruary 8, 2006
Last NPPES UpdateNovember 15, 2011
✔ NPI 1346213519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 33446
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
N14W23900 STONE RIDGE DR, Waukesha, WI 53188
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Other Identifiers 3

Medicare UPINF77040WI
Medicare PIN683750160WI
Medicaid32015300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

William Boehm 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 ID3476465105
PECOS Enrollment IDI20100512000338
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 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.
230 services142 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.
215 services150 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
214 services142 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
157 services157 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
126 services41 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
126 services42 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 53188 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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers35 claims134 services$5.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims17 services$1.11 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers14 claims320 services$7.92 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.23 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.

CHRISTINE WAHMHOFF M.D.
Internal Medicine
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188
Waukesha County (262) 549-3030
SARITA MAKHIJA M.D.
Internal Medicine
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC
WAUKESHA, WI 53188
Waukesha County (262) 574-8000
MARK ROZNIK M.D.
Internal Medicine
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188
Waukesha County (262) 549-3030
LAURA L RADKE MD
Internal Medicine (Infectious Disease)
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI 53188
Waukesha County (262) 574-8000
AMY WEAVER OD
Optometrist
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI 53188
Waukesha County (262) 549-3030
GERHARD SAWALL M.D.
Pediatrics
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC
WAUKESHA, WI 53188
Waukesha County (262) 549-3030
DAVID NIENHUIS M.D.
Otolaryngology
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188
Waukesha County (262) 549-3030
DIANE KEYES APNP, RN
Nurse Practitioner
N14W23900 STONE RIDGE DR
WAUKESHA, WI 53188
Waukesha County (262) 549-3030

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 William Boehm's NPI number?

The NPI number for William Boehm is 1346213519. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is William Boehm located?

William Boehm practices at N14w23900 Stone Ridge Dr Prohealth Care Medical Associates Inc., Waukesha, WI 53188. The listed phone number is (262) 549-3030.

What is William Boehm's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is William Boehm enrolled in Medicare?

Yes. William Boehm 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 William Boehm accept?

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

According to CMS data, William Boehm is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for William Boehm was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.