DR. JOHN L BOSTANCHE D.P.M.
NPI 1821092420
Podiatrist - Foot & Ankle Surgery in Kenosha, WI

Q: What is John Bostanche's NPI number?

The NPI number for John Bostanche is 1821092420. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Q: What is John Bostanche's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for John Bostanche was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 June 10, 2005PECOS EnrolledAccepts Medicare Assignment

75.83/100

CMS Quality Rating

6123 GREEN BAY RD, STE 100, KENOSHA, WI 53142(262) 657-3668(262) 652-0564 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. John L Bostanche D.p.m. NPPES

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

DR. JOHN L BOSTANCHE D.P.M. (NPI 1821092420) is an individual foot & ankle surgery provider in Kenosha, Wisconsin, licensed in Wisconsin (654025) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of William M. Scholl College Of Podiatric Medicine (1990).

NPPES Registry Identity

NPI1821092420

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. JOHN L BOSTANCHECredential: D.P.M.

Location Address6123 GREEN BAY RD, STE 100Kenosha, WI 53142-2939

Mailing Address6123 Green Bay Rd, Ste 100Kenosha, WI 53142-2939 · (262) 657-3668 · Fax (262) 652-0564

Phone(262) 657-3668

Fax(262) 652-0564

Sole ProprietorNo

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1990

Enumeration DateJune 10, 2005

Last NPPES UpdateMay 5, 2010

✔ NPI 1821092420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in WI · 654025✔ Licensed in IL · 016004510

6123 GREEN BAY RD, Kenosha, WI 53142

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Other Identifiers 4

Medicare UPINU18653

Medicare ID-Type Unspecified000082311WI

Medicaid43215000WI

Medicare NSC1821092420WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John L Bostanche D.p.m. 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 ID4385611490

PECOS Enrollment IDI20040917000093

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.

Medicare Billing Reassignment

Medicare enrollment records show John Bostanche reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Lakes Foot & Ankle Centers Inc

Same address

Foot & Ankle Surgery

6123 GREEN BAY RD, SUITE 100
Kenosha, WI 53142

Reassigned Medicare billing, Wisconsin enrollment

NPI 1295941409 (262) 652-3668

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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 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.

850 services333 patients

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.

818 services73 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.

294 services204 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

250 services93 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

163 services97 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

133 services55 patients

Aspiration and/or injection of fluid from small joint using ultrasound guidance 20604

This procedure involves using ultrasound to accurately locate a small joint. A needle is then carefully inserted to remove fluid (aspiration) or inject medication. This can help diagnose or treat joint issues. It's generally safe and minimally invasive.

127 services38 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.

73 services73 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.

65 services65 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

56 services19 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

29 services18 patients

Aspiration and/or injection of fluid from medium joint using ultrasound guidance 20606

This is a procedure where a needle is guided by ultrasound into a medium-sized joint, like a knee or shoulder. The needle can be used to remove fluid, which can relieve pressure and pain, or to inject medication to help with inflammation and discomfort.

26 services14 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

25 services16 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

24 services15 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

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.

75.83/100

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

Scored as part of a group practice

Quality

51.66

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf L4350

DME-Orthotic Devices · category DF000N

1 supplier13 claims14 services$80.67 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4360

DME-Orthotic Devices · category DF003N

2 suppliers21 claims21 services$200.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

DR. RODRIGO BUENCAMINO MATA III M.D.

Internal Medicine

6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142

Kenosha County (262) 652-2710

MRS. TAREY ANN WENNINGER P.T.,

Physical Therapist

6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142

Kenosha County (262) 653-9208

GREAT LAKES FAMILY MEDICAL CENTER INC

Clinic/Center

6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142

Kenosha County (262) 764-4390

RODRIGO A MATA JR. M.D.

Family Medicine

6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142

Kenosha County (262) 652-6995

GREAT LAKES FOOT & ANKLE CENTERS INC

Podiatrist (Foot & Ankle Surgery)

6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142

Kenosha County (262) 652-3668

DR THOMAS J SOLECKI JR SC

Chiropractor

6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142

Kenosha County (262) 653-9208

DR. KALPANA RAO PHD

Psychologist (Clinical)

6123 GREEN BAY RD
KENOSHA, WI 53142

Kenosha County (262) 948-1000

TODD'S COMPANIONPLUS, INC.

Home Health

6123 GREEN BAY RD, SUITE 230
KENOSHA, WI 53142

Kenosha County (262) 842-0405

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 Bostanche's NPI number?

The NPI number for John Bostanche is 1821092420. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is John Bostanche located?

John Bostanche practices at 6123 Green Bay Rd Ste 100, Kenosha, WI 53142. The listed phone number is (262) 657-3668.

What is John Bostanche's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is John Bostanche enrolled in Medicare?

Yes. John Bostanche 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.

Which organization bills Medicare for John Bostanche's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Bostanche reassigns Medicare benefits to Great Lakes Foot & Ankle Centers Inc (Kenosha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Bostanche's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Bostanche accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Quartz and UnitedHealthcare list John Bostanche 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 John Bostanche affiliated with any hospitals?

According to CMS data, John Bostanche is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for John Bostanche was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.