ERNESTO BOGARIN MIRANDA M.D.
NPI 1376951046
Family Medicine in Fort Atkinson, WI

Active since July 25, 2014PECOS EnrolledAccepts Medicare Assignment
1520 MADISON AVE, FORT ATKINSON, WI 53538(920) 563-5500 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2022, May 8, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Ernesto Bogarin Miranda M.d. NPPES

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

ERNESTO BOGARIN MIRANDA M.D. (NPI 1376951046) is an individual family medicine provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (73153-20) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2014).

NPPES Registry Identity

NPI1376951046
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERNESTO BOGARIN MIRANDACredential: M.D.
Location Address1520 MADISON AVEFort Atkinson, WI 53538-3100
Mailing Address1520 Madison AveFort Atkinson, WI 53538-3100 · (920) 563-5500
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2014
Enumeration DateJuly 25, 2014
Last NPPES UpdateOctober 7, 20224 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1376951046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 73153-20 Licensed in ND · RL14696
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License R74574 (AZ)
1520 MADISON AVE, Fort Atkinson, WI 53538

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

Ernesto Bogarin Miranda 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 ID2567733488
PECOS Enrollment IDI20200513000403
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.

Hospital Affiliations CMS Care Compare 2

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 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
$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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$115.01 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier22 claims22 services$190.39 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 7

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

Nurse Practitioner
1520 MADISON AVE
FORT ATKINSON, WI 53538
Nurse Practitioner (Family)
1520 MADISON AVE
FORT ATKINSON, WI 53538
Internal Medicine
1520 MADISON AVE
FORT ATKINSON, WI 53538
Nurse Practitioner
1520 MADISON AVE
FORT ATKINSON, WI 53538
Physician Assistant
1520 MADISON AVE
FORT ATKINSON, WI 53538
Social Worker (Clinical)
1520 MADISON AVE
FORT ATKINSON, WI 53538
Psychologist (Clinical)
1520 MADISON AVE
FORT ATKINSON, WI 53538

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 Ernesto Bogarin Miranda's NPI number?

The NPI number for Ernesto Bogarin Miranda is 1376951046. It was assigned to this individual provider in the NPPES registry on July 25, 2014.

Where is Ernesto Bogarin Miranda located?

Ernesto Bogarin Miranda practices at 1520 Madison Ave, Fort Atkinson, WI 53538. The listed phone number is (920) 563-5500.

What is Ernesto Bogarin Miranda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ernesto Bogarin Miranda enrolled in Medicare?

Yes. Ernesto Bogarin Miranda 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 Ernesto Bogarin Miranda accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare Health Plans and Quartz list Ernesto Bogarin Miranda 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 Ernesto Bogarin Miranda affiliated with any hospitals?

According to CMS data, Ernesto Bogarin Miranda is affiliated with Fort Memorial Hospital and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Ernesto Bogarin Miranda was last updated on October 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.