MR. SUMON BHATTACHARJEE MD
NPI 1740221910
Neurological Surgery in Neenah, WI

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
1305 W AMERICAN DR, NEENAH, WI 54956(920) 725-9373(920) 720-7392 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Sumon Bhattacharjee Md NPPES

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

MR. SUMON BHATTACHARJEE MD (NPI 1740221910) is an individual neurological surgery provider in Neenah, Wisconsin, licensed in Wisconsin (46005) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1740221910
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMR. SUMON BHATTACHARJEECredential: MD
Location Address1305 W AMERICAN DRNeenah, WI 54956-1993
Mailing Address1305 W American DrNeenah, WI 54956-1993 · (920) 725-9373 · Fax (920) 720-7392
Fax(920) 720-7392
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 9, 2006
Last NPPES UpdateOctober 12, 2022
NPPES CertifiedOctober 12, 2022
NPI 1740221910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in WI · 46005
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1305 W AMERICAN DR, Neenah, WI 54956

Other Identifiers 1

Medicaid34616300WI

Accepted 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

Mr. Sumon Bhattacharjee Md 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 ID648225177
PECOS Enrollment IDI20050317000765
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 8

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 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.
89 services76 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.
50 services46 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.
37 services37 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
31 services11 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.
26 services26 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
22 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Nurse Practitioner (Family)
1305 W AMERICAN DR
NEENAH, WI 54956
Occupational Therapist
1305 W AMERICAN DR
NEENAH, WI 54956
Psychiatry & Neurology (Neurology)
1305 W AMERICAN DR
NEENAH, WI 54956
Physical Therapist
1305 W AMERICAN DR
NEENAH, WI 54956
Physical Medicine & Rehabilitation
1305 W AMERICAN DR
NEENAH, WI 54956
Physical Therapist
1305 W AMERICAN DR
NEENAH, WI 54956
Psychiatry & Neurology (Neurology)
1305 W AMERICAN DR
NEENAH, WI 54956
Speech-Language Pathologist
1305 W AMERICAN DR
NEENAH, WI 54956

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 Sumon Bhattacharjee's NPI number?

The NPI number for Sumon Bhattacharjee is 1740221910. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Sumon Bhattacharjee located?

Sumon Bhattacharjee practices at 1305 W American Dr, Neenah, WI 54956. The listed phone number is (920) 725-9373.

What is Sumon Bhattacharjee's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Sumon Bhattacharjee enrolled in Medicare?

Yes. Sumon Bhattacharjee 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 Sumon Bhattacharjee 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 Sumon Bhattacharjee 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 Sumon Bhattacharjee affiliated with any hospitals?

According to CMS data, Sumon Bhattacharjee is affiliated with St Nicholas Hospital, Thedacare Regional Med Ctr - Neenah, St Vincent Hospital, St. Agnes Hospital Hospice and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Sumon Bhattacharjee was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.