JACK SCOTT BONTEKOE
NPI 1568081578
Surgery - Vascular Surgery in Madison, WI

Q: What is Jack Bontekoe's NPI number?

The NPI number for Jack Bontekoe is 1568081578. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Q: What is Jack Bontekoe's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Jack Bontekoe was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 09, 2020PECOS Enrolled

600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6400 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2022, Apr 9, 2020 (2 updates tracked since 2020).

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About Jack Scott Bontekoe NPPES

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

JACK SCOTT BONTEKOE (NPI 1568081578) is an individual vascular surgery provider in Madison, Wisconsin, licensed in Wisconsin (76574-20) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568081578

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameJACK SCOTT BONTEKOE

Location Address600 HIGHLAND AVEMadison, WI 53792-0001

Mailing Address600 Highland AveMadison, WI 53792-0001

Phone(608) 263-6400

Sole ProprietorNo

Enumeration DateApril 9, 2020

Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2022

✔ NPI 1568081578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in WI · 76574-20

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

600 HIGHLAND AVE, Madison, WI 53792

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Scott Bontekoe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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 20

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

JASON ALAN CHRISTENSEN PHARMD

Pharmacist

600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792

Dane County (608) 662-0817

LAURA JEAN KOPPLIN MD, PHD

Ophthalmology