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BOZENA SIMON MD
NPI 1437249125
Internal Medicine in Mequon, WI

Active since October 13, 2006Opted out of Medicare · through Jun 9, 2027
11203 N BUNTROCK AVE, MEQUON, WI 53092(262) 238-8988(262) 238-0819 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bozena Simon Md NPPES

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

BOZENA SIMON MD (NPI 1437249125) is an individual internal medicine provider in Mequon, Wisconsin, licensed in Wisconsin (37239-020) and active in the NPI registry since October 2006. She has opted out of Medicare through June 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1437249125
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBOZENA SIMONCredential: MD
Location Address11203 N BUNTROCK AVEMequon, WI 53092-1857
Mailing Address574 Rosedale DrThiensville, WI 53092-1358 · (262) 512-0973 · Fax (262) 512-0973
Phone(262) 238-8988
Fax(262) 238-0819
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437249125 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 · 37239-020
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.
11203 N BUNTROCK AVE, Mequon, WI 53092
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Bozena Simon Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2011 through June 9, 2027.

Opt-Out Effective DateJune 9, 2011
Opt-Out In Effect ThroughJune 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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.

Other Providers at the Same Location NPPES 4

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

ADVANCED SPINE CENTER, S.C.
Chiropractor
11203 N BUNTROCK AVE, 100
MEQUON, WI 53092
Ozaukee County (262) 512-1661
BRETT EGELSEER
Chiropractor
11203 N BUNTROCK AVE, SUITE 100
MEQUON, WI 53092
Ozaukee County (262) 512-1661
CZARNECKI PODIATRY, INC.
Podiatrist (Foot & Ankle Surgery)
11203 N BUNTROCK AVE, SUITE 103
MEQUON, WI 53092
Ozaukee County (262) 242-0095
MS. REBECCA B. ABBOTT C.AC.
Acupuncturist
11203 N BUNTROCK AVE
MEQUON, WI 53092
Ozaukee County (262) 512-1661

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 Bozena Simon's NPI number?

The NPI number for Bozena Simon is 1437249125. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Bozena Simon located?

Bozena Simon practices at 11203 N Buntrock Ave, Mequon, WI 53092. The listed phone number is (262) 238-8988.

What is Bozena Simon's specialty?

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

Is Bozena Simon enrolled in Medicare?

No. Bozena Simon has opted out of Medicare through June 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bozena Simon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.