DR. CAROLINE ELEONORA BEDNARSKI MD
NPI 1407218894
Obstetrics & Gynecology in Pleasant Prairie, WI

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
9555 76TH ST # 4105, PLEASANT PRAIRIE, WI 53158(262) 577-8080 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2020, Feb 25, 2020, Jun 20, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Caroline Eleonora Bednarski Md NPPES

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

DR. CAROLINE ELEONORA BEDNARSKI MD (NPI 1407218894) is an individual obstetrics & gynecology provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (73322-20) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2016).

NPPES Registry Identity

NPI1407218894
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CAROLINE ELEONORA BEDNARSKICredential: MD
Location Address9555 76TH ST # 4105Pleasant Prairie, WI 53158-1984
Mailing Address9555 76th St # 4105Pleasant Prairie, WI 53158-1984 · (262) 577-8080
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateJune 24, 20204 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
NPI 1407218894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in WI · 73322-20 Licensed in IL · 036.149808 Licensed in IL · 125.068336
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

9555 76TH ST # 4105, Pleasant Prairie, WI 53158

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

Dr. Caroline Eleonora Bednarski Md 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 ID4981987542
PECOS Enrollment IDI20200819001276
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

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.

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

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 Caroline Bednarski's NPI number?

The NPI number for Caroline Bednarski is 1407218894. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Caroline Bednarski located?

Caroline Bednarski practices at 9555 76th St # 4105, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8080.

What is Caroline Bednarski's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Caroline Bednarski enrolled in Medicare?

Yes. Caroline Bednarski 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 Caroline Bednarski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health list Caroline Bednarski 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 Caroline Bednarski affiliated with any hospitals?

According to CMS data, Caroline Bednarski is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Caroline Bednarski was last updated on June 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.