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DR. JOHN C GERNETZKE D.D.S.
NPI 1629050026
Dentist in Evansville, WI

Active since November 19, 2005PECOS Enrolled
109 S MADISON ST, EVANSVILLE, WI 53536(608) 882-4441(608) 882-4967 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John C Gernetzke D.d.s. NPPES

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

DR. JOHN C GERNETZKE D.D.S. (NPI 1629050026) is an individual dentist in Evansville, Wisconsin, licensed in Wisconsin (4078) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629050026
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN C GERNETZKECredential: D.D.S.
Location Address109 S MADISON STEvansville, WI 53536-1319
Mailing Address109 S Madison StEvansville, WI 53536-1319 · (608) 882-4441 · Fax (608) 882-4967
Phone(608) 882-4441
Fax(608) 882-4967
Sole ProprietorNo
Enumeration DateNovember 19, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629050026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 4078
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
109 S MADISON ST, Evansville, WI 53536
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Other Identifiers 2

Medicaid33688500WI
Medicare ID-Type Unspecified49696WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Dr. John C Gernetzke D.d.s. 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 53536 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 3

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

THE GROVE FAMILY DENTAL AND TMJ CLINIC, LLC
Dentist
109 S MADISON ST
EVANSVILLE, WI 53536
Rock County (608) 882-4441
MERCY DENTAL EVANSVILLE LLC
Clinic/Center (Dental)
109 S MADISON ST
EVANSVILLE, WI 53536
Rock County (608) 882-4441
CALI HENSEL DDS
Dentist
109 S MADISON ST
EVANSVILLE, WI 53536
Rock County (608) 882-4441

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 John Gernetzke's NPI number?

The NPI number for John Gernetzke is 1629050026. It was assigned to this individual provider in the NPPES registry on November 19, 2005.

Where is John Gernetzke located?

John Gernetzke practices at 109 S Madison St, Evansville, WI 53536. The listed phone number is (608) 882-4441.

What is John Gernetzke's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is John Gernetzke enrolled in Medicare?

Yes. John Gernetzke is registered in the Medicare PECOS enrollment system.

What insurance does John Gernetzke accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Guardian and 3 other insurers list John Gernetzke 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.

When was this NPI record last updated?

The NPPES record for John Gernetzke 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.