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

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: July 26, 2026.

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
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

Other Identifiers 4

Medicare UPINU18653
Medicare ID-Type Unspecified000082311WI
Medicaid43215000WI
Medicare NSC1821092420WI

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

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.

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

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
Quality51.66
Improvement Activities40

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.

Internal Medicine
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Physical Therapist
6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142
Clinic/Center
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Family Medicine
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Podiatrist (Foot & Ankle Surgery)
6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Chiropractor
6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142
Psychologist (Clinical)
6123 GREEN BAY RD
KENOSHA, WI 53142
Home Health
6123 GREEN BAY RD, SUITE 230
KENOSHA, WI 53142

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.

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 with the weekly NPPES data releases published by CMS.