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WILLIAM G DOUBEK M.D.
NPI 1457339913
Plastic Surgery in Oshkosh, WI

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
2400 WITZEL AVE STE A, OSHKOSH, WI 54904(920) 233-1540(920) 651-6951 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2020, Sep 5, 2019 (2 updates tracked since 2019).

About William G Doubek M.d. NPPES

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

WILLIAM G DOUBEK M.D. (NPI 1457339913) is an individual plastic surgery provider in Oshkosh, Wisconsin, licensed in Wisconsin (39879-20) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of St. Louis College Of Physicians And Surgeons (1991).

NPPES Registry Identity

NPI1457339913
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameWILLIAM G DOUBEKCredential: M.D.
Location Address2400 WITZEL AVE STE AOshkosh, WI 54904-8375
Mailing Address2400 Witzel Ave Ste AOshkosh, WI 54904-8375 · (920) 233-1540 · Fax (920) 651-6951
Phone(920) 233-1540
Fax(920) 651-6951
Sole ProprietorNo
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 1991
Enumeration DateJanuary 5, 2006
Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1457339913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WI · 39879-20
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2400 WITZEL AVE STE A, Oshkosh, WI 54904
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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 G Doubek 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 ID749379766
PECOS Enrollment IDI20101007000180
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 2

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 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.
31 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services15 patients

Hospital Affiliations CMS Care Compare

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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
$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.

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.

LAUREN T SULLIVAN NP
Nurse Practitioner
2400 WITZEL AVE STE A
OSHKOSH, WI 54904
Winnebago County (920) 233-1540
DR. DAVID A JANSSEN M.D.
Plastic Surgery
2400 WITZEL AVE STE A
OSHKOSH, WI 54904
Winnebago County (920) 233-1540
ASHLEIGH ELIZABETH LEDET PA-C
Physician Assistant
2400 WITZEL AVE STE A
OSHKOSH, WI 54904
Winnebago County (920) 233-1540
JASON LANDON GARROW P.A.
Physician Assistant (Surgical)
2400 WITZEL AVE STE A
OSHKOSH, WI 54904
Winnebago County (920) 233-1540

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 Doubek's NPI number?

The NPI number for William Doubek is 1457339913. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is William Doubek located?

William Doubek practices at 2400 Witzel Ave Ste A, Oshkosh, WI 54904. The listed phone number is (920) 233-1540.

What is William Doubek's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is William Doubek enrolled in Medicare?

Yes. William Doubek 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 Doubek accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list William Doubek 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 Doubek affiliated with any hospitals?

According to CMS data, William Doubek is affiliated with Thedacare Regional Med Ctr - Neenah.

When was this NPI record last updated?

The NPPES record for William Doubek was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.