DR. PAUL M LEMEN MD
Accepted Insurance for NPI 1457305708
Obstetrics & Gynecology in Milwaukee, WI
Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9200 W WISCONSIN AVE, OBSTETRICS AND GYNECOLOGY, MILWAUKEE, WI 53226(414) 805-6600(414) 805-6622 Get Directions
Does Dr. Lemen take my insurance?
59 Wisconsin plans sold on HealthCare.gov for 2027 include Dr. Lemen, from CareSource (Common Ground Healthcare), Network Health, Aspirus Health Plan and 2 other insurers.
Call before you book: insurer directories can be out of date, so call the office at (414) 805-6600 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Wisconsin Medicaid ID; ask the office which Medicaid plans it takes.
No plans match your search or filters.
Wisconsin plans 59 plans · 72 plan IDs
Plans sold to Wisconsin residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.
CareSource (Common Ground Healthcare)
Gold Standard EPO 2500 $30 PCP + Vision ExamNetwork tier: PreferredEPOGold$2,50087416WI0060001View details
Value Gold EPO 3700 $20 PCP + Vision ExamNetwork tier: PreferredEPOGold$3,70087416WI0060006View details
Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCPNetwork tier: PreferredEPOSilver$5,30087416WI0030023View details
Low Deductible Silver EPO 5300 Ded/5650 Rx Ded $55 PCP + Vision ExamNetwork tier: PreferredEPOSilver$5,30087416WI0060012View details
Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCPNetwork tier: PreferredEPOSilver$5,70087416WI0030047View details
Value Silver EPO 5700 Ded/6000 Rx Ded $35 PCP + Vision ExamNetwork tier: PreferredEPOSilver$5,70087416WI0060011View details
Silver Standard EPO 6400 $40 PCP + Vision ExamNetwork tier: PreferredEPOSilver$6,40087416WI0060002View details
Bronze EPO $0 Ded/3000 Rx Ded $55 PCP HSANetwork tier: PreferredEPOExpanded Bronze$087416WI0030003View details
Bronze EPO $0 Ded/3000 Rx Ded $55 PCP HSA + Vision ExamNetwork tier: PreferredEPOExpanded Bronze$087416WI0060023View details
Bronze Standard EPO 7500 $50 PCP HSANetwork tier: PreferredEPOExpanded Bronze$7,50087416WI0030041View details
Bronze Standard EPO 7500 $50 PCP HSA + Vision ExamNetwork tier: PreferredEPOExpanded Bronze$7,50087416WI0060003View details
Low Premium Bronze EPO 12000 $50 PCP HSANetwork tier: PreferredEPOExpanded Bronze$12,00087416WI0030027View details
Low Premium Bronze EPO 12000 $50 PCP HSA + Vision ExamNetwork tier: PreferredEPOExpanded Bronze$12,00087416WI0060015View details
Network Health
Prestige Gold 50 + 1 Free PCP VisitNetwork tier: PrestigegoldfiftyHMOGold$1,00081413WI0480016View details
Prestige Gold 50 + Dental + Vision + 1 Free PCP VisitNetwork tier: PrestigegoldfiftydvHMOGold$1,00081413WI0460016View details
Prestige Gold Essential + 3 Free PCP VisitsNetwork tier: PrestigegoldessentialHMOGold$1,75081413WI0480013View details
Prestige Gold Essential + Dental + Vision + 3 Free PCP VisitsNetwork tier: PrestigegoldessentialdvHMOGold$1,75081413WI0460013View details
Prestige Silver Essential + 3 Free PCP VisitsNetwork tier: PrestigesilveressentialHMOSilver$4,60081413WI0480011View details
Prestige Silver Essential + Dental + Vision + 3 Free PCP VisitsNetwork tier: PrestigesilveressentialdvHMOSilver$4,60081413WI0460011View details
Prestige Bronze $0 Medical DeductibleNetwork tier: SignatureprestigebronzezeromedicaldeductibleHMOExpanded Bronze$081413WI0480018View details
Prestige Bronze $0 Medical Deductible + Dental + VisionNetwork tier: SignatureprestigebronzezeromedicaldeductibledvHMOExpanded Bronze$081413WI0460018View details
Prestige Bronze PlusNetwork tier: PrestigebronzeplusHMOExpanded Bronze$7,50081413WI0480002View details
Prestige Bronze Essential + 3 Free PCP VisitsNetwork tier: PrestigebronzeessentialHMOExpanded Bronze$7,75081413WI0480008View details
Prestige Bronze Essential + Dental + Vision + 3 Free PCP VisitsNetwork tier: PrestigebronzeessentialdvHMOExpanded Bronze$7,75081413WI0460008View details
Aspirus Health Plan
Listing last updated Jan 4, 2024, over a year agoHMO Bronze $0 Medical DeductibleNetwork tier: AspirussignHMOExpanded Bronze$086584WI0010016View details
HMO Catastrophic 12000 with 3 free PCP visitsNetwork tier: AspirussignHMOCatastrophic$12,00086584WI0010008View details
Anthem Blue Cross and Blue Shield
Blue Preferred and Rx Choice Tiered Network · 5 plans · Participating tier
Anthem Silver Preferred 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$4,00079475WI0550104View details
Anthem Silver Preferred 5500 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$5,50079475WI0550102View details
Anthem Heart Healthy Bronze Preferred 0 Med Ded HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$079475WI0550101View details
Anthem Bronze Preferred 5000 HSA (3 Free PCP Visits + $0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$5,00079475WI0550103View details
Anthem Bronze Preferred 8000 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$8,00079475WI0550106View details
Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Preferred 2500 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOGold$2,50079475WI0550107View details
Anthem Silver Preferred 6400 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$6,40079475WI0550108View details
Anthem Bronze Preferred 7500 HSA Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$7,50079475WI0550105View details
HealthPartners
Oak network · 5 plans · Network tier
NE WI Select network · 3 plans · Network tier
NE WI Select $7,500 Plus Bronze HSANetwork tier: NetworkPPOExpanded Bronze$7,50020173WI0130035View details
NE WI Select $7,500 Standard Bronze HSANetwork tier: NetworkPPOExpanded Bronze$7,50020173WI0130036View details
NE WI Select $8,700 HSA BronzeNetwork tier: NetworkPPOExpanded Bronze$8,70020173WI0130038View details
Questions about Dr. Lemen’s insurance
What insurance does Dr. Lemen take?
In Wisconsin, CareSource (Common Ground Healthcare), Network Health, Aspirus Health Plan, Anthem Blue Cross and Blue Shield and HealthPartners include Dr. Lemen in 59 Marketplace plans for 2027. Call the office at (414) 805-6600 to confirm your plan before booking.
Do I need a referral to see Dr. Lemen?
Not under the Wisconsin plans that list Dr. Lemen: the 2027 plan files say a specialist referral is not required.
Does Dr. Lemen accept Medicare?
Yes. CMS files show Dr. Lemen accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.
About this data
This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.
| Source | What it provides here | Source date |
|---|---|---|
| Insurer provider directory files | Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules. | CareSource (Common Ground Healthcare): Nov 5, 2026 Anthem Blue Cross and Blue Shield: Oct 29, 2026 HealthPartners: Mar 19, 2026 Network Health: Jan 12, 2026 Aspirus Health Plan: Jan 4, 2024 |
| CMS Health Insurance Exchange public use files | Plan details and Summary of Benefits links for HealthCare.gov states. | Plan year 2027, Oct 20, 2026 |
- Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
- Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
- Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
- Networks change during the year. Confirm with your insurer or the practice before booking.
