DR. ALAN P. GEGENHEIMER D.O.
NPI 1730119561
Orthopaedic Surgery in Pleasant Prairie, WI

Q: What is Alan Gegenheimer's NPI number?

The NPI number for Alan Gegenheimer is 1730119561. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Alan Gegenheimer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Alan Gegenheimer was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 04, 2006PECOS EnrolledAccepts Medicare Assignment

79.61/100

CMS Quality Rating

9697 SAINT CATHERINES DR, SUITE 200, PLEASANT PRAIRIE, WI 53158(262) 656-3590(262) 656-3591 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Alan P. Gegenheimer D.o. NPPES

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

DR. ALAN P. GEGENHEIMER D.O. (NPI 1730119561) is an individual orthopaedic surgery provider in Pleasant Prairie, Wisconsin, licensed in Illinois (036-099781) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Michigan State University College Of Osteopathic Medicine (1988).

NPPES Registry Identity

NPI1730119561

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. ALAN P. GEGENHEIMERCredential: D.O.

Location Address9697 SAINT CATHERINES DR, SUITE 200Pleasant Prairie, WI 53158-2118

Mailing Address6308 8th Ave, Attn: Medical Staff OfficeKenosha, WI 53143-5031 · (262) 656-3313 · Fax (262) 653-5850

Phone(262) 656-3590

Fax(262) 656-3591

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1988

Enumeration DateJuly 4, 2006

Last NPPES UpdateAugust 9, 2016

✔ NPI 1730119561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IL · 036-099781

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

9697 SAINT CATHERINES DR, Pleasant Prairie, WI 53158

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Other Identifiers 4

Medicare UPINL76306IL

Medicare PINF400228462IL

Medicaid1730119561WI

Medicare PINK400229202WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Dr. Alan P. Gegenheimer D.o. 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 ID7012087158

PECOS Enrollment IDI20150727001292

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 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

220 services20 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

134 services69 patients

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.

130 services93 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

112 services38 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

78 services59 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

72 services59 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

49 services37 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

44 services14 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

40 services35 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

38 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

19 services19 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

17 services14 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

14 services14 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.88

Promoting Interoperability

100

Improvement Activities

Cost

61.15

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Other Providers at the Same Location NPPES 10

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

MEGAN LEE PA-C

Physician Assistant

9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 656-3590

LARONDA JAMES NURSE PRACTITIONER

Nurse Practitioner

9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 656-3338

MHD ANAS ALSAWAF MBBS, MD

Orthopaedic Surgery

9697 SAINT CATHERINES DR, STE 200
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 656-3590

DR. NICHOLAS CAIN PT, DPT

Physical Therapist (Sports)

9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 577-8141

MICHELLE LOUISE GAUTHIER DO

Family Medicine

9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 577-8320

ABDUL SAMI KHAN MD

Internal Medicine (Gastroenterology)

9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 653-5330

PAIN CENTERS OF WISCONSIN - KENOSHA, LLC

Clinic/Center (Ambulatory Surgical)

9697 SAINT CATHERINES DR, STE 102
PLEASANT PRAIRIE, WI 53158

Kenosha County (414) 325-7246

ADVANCED PAIN MANAGEMENT SC

Durable Medical Equipment & Medical Supplies

9697 SAINT CATHERINES DR, SUITE 101
PLEASANT PRAIRIE, WI 53158

Kenosha County (414) 325-7246

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 Alan Gegenheimer's NPI number?

The NPI number for Alan Gegenheimer is 1730119561. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Alan Gegenheimer located?

Alan Gegenheimer practices at 9697 Saint Catherines Dr Suite 200, Pleasant Prairie, WI 53158. The listed phone number is (262) 656-3590.

What is Alan Gegenheimer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Alan Gegenheimer enrolled in Medicare?

Yes. Alan Gegenheimer 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 Alan Gegenheimer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health list Alan Gegenheimer 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 Alan Gegenheimer affiliated with any hospitals?

According to CMS data, Alan Gegenheimer is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Alan Gegenheimer was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.