BLUEMOUND SURGERY CENTER LTD
NPI 1710107743
Clinic/Center in Waukesha, WI

NPI Status: Active since May 01, 2007

Contact Information

N4W22370 BLUEMOUND RD
WAUKESHA, WI
ZIP 53186
Phone: (262) 970-5600
Fax: (262) 970-5950

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 52D1082472
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-09-2028

About BLUEMOUND SURGERY CENTER LTD

This page provides the complete NPI Profile along with additional information for Bluemound Surgery Center Ltd, a provider established in Waukesha, Wisconsin operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1710107743 assigned on May 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Thomas G Korkos Md (Medical Director)

NPI
1710107743
Provider Name
BLUEMOUND SURGERY CENTER LTD
Entity Type
Organization
Location Address
N4W22370 BLUEMOUND RD WAUKESHA, WI 53186
Location Phone
(262) 970-5600
Location Fax
(262) 970-5950
Mailing Address
N4W22370 BLUEMOUND RD WAUKESHA, WI 53186
Mailing Phone
(262) 970-5600
Mailing Fax
(262) 970-5950
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2007
Last Update Date
06-27-2012
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. THOMAS G KORKOS MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(262) 970-5600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000085943MEDICARE ID-TYPE UNSPECIFIED (04)WI 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Repair of wound by transferring skin, 30.1-60.0 sq cm

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

This service was performed 12 times for 12 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D1082472
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 10, 2026
Certificate Expiration Date
April 09, 2028
Laboratory Director
DR. THOMAS KORKOS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bluemound Surgery Center Ltd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BLUEMOUND SURGERY CENTER LTD

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710107743, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 2 + 0 + 1 + 4 + 7 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1710107743.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Plastic Surgery
N4W22370 BLUEMOUND RD, 100
WAUKESHA, WI 53186
Family Medicine
N4W22370 BLUEMOUND RD
WAUKESHA, WI 53186
Chiropractor (Nutrition)
N4W22370 BLUEMOUND RD
WAUKESHA, WI 53186
Radiology (Diagnostic Radiology)
N4W22370 BLUEMOUND RD, SUITE 201
WAUKESHA, WI 53186
Audiologist-Hearing Aid Fitter
N4W22370 BLUEMOUND RD, STE 202A
WAUKESHA, WI 53186
Plastic Surgery
N4W22370 BLUEMOUND RD, SUITE 100
WAUKESHA, WI 53186
Hearing Aid Equipment
N4W22370 BLUEMOUND RD, STE 202A
WAUKESHA, WI 53186
Plastic Surgery
N4W22370 BLUEMOUND RD, SUITE 100
WAUKESHA, WI 53186
Plastic Surgery
N4W22370 BLUEMOUND RD, SUITE 100
WAUKESHA, WI 53186
Surgery (Plastic and Reconstructive Surgery)
N4W22370 BLUEMOUND RD
WAUKESHA, WI 53186
Surgery (Plastic and Reconstructive Surgery)
N4W22370 BLUEMOUND RD
WAUKESHA, WI 53186

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710107743, enumerated as an "organization" on May 01, 2007.

The provider is located at N4W22370 BLUEMOUND RD WAUKESHA, WI 53186 and the phone number is (262) 970-5600.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield,. Please consult your insurance carrier or call the provider to verify.