JOHN PAUL BUDI DO
NPI 1891050217
Emergency Medicine in Pleasant Prairie, WI

Active since July 11, 2012PECOS Enrolled
9555 76TH ST, PLEASANT PRAIRIE, WI 53158(262) 577-8202 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2023, Jan 15, 2022 (2 updates tracked since 2022).

About John Paul Budi Do NPPES

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

JOHN PAUL BUDI DO (NPI 1891050217) is an individual emergency medicine provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (72466-21) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Waukesha.

NPPES Registry Identity

NPI1891050217
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN PAUL BUDICredential: DO
Location Address9555 76TH STPleasant Prairie, WI 53158-1984
Mailing Address1668 32nd AveKenosha, WI 53144-3380 · (920) 419-7703
Sole ProprietorNo
Enumeration DateJuly 11, 2012
Last NPPES UpdateMay 26, 20232 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
✔ NPI 1891050217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WI · 72466-21✔ Licensed in OH · 34.012288
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
9555 76TH ST, Pleasant Prairie, WI 53158

Secondary Practice Location 1

Location 12325 Fox Run Blvd Ste 100Waukesha, WI 53188-6602 · Phone (262) 732-3865

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Paul Budi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

8

Medicare enrollment records show John Budi reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
6308 8TH AVE
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 212 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
Emergency Medicine
10625 W NORTH AVE, SUITE 102
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Emergency Medicine Specialists Sc
  • 244 clinicians in this Medicare group
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
Critical Access
614 MEMORIAL DR
Chilton, WI 53014
  • Reassigned Medicare billing, Wisconsin enrollment
  • 91 clinicians in this Medicare group
Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group
Critical Access
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
Emergency Medicine
800 RIVERSIDE DR
Waupaca, WI 54981
  • Reassigned Medicare billing, Wisconsin enrollment
  • 110 clinicians in this Medicare group

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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
41 services41 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
30 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services17 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

General Acute Care Hospital
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Family Medicine
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Radiology (Vascular & Interventional Radiology)
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Internal Medicine
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Hospitalist
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158

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 Budi's NPI number?

The NPI number for John Budi is 1891050217. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is John Budi located?

John Budi practices at 9555 76th St, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8202.

What is John Budi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Budi enrolled in Medicare?

Yes. John Budi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Budi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Budi reassigns Medicare benefits to 8 organizations: Froedtert South, Inc. (Kenosha, WI), The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Emergency Medicine Specialists, S.C. (Milwaukee, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Ascension Calumet Hospital, Inc (Chilton, WI) and 3 more organizations, listed in the Medicare section above. Each 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 Budi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Budi accept?

Health plans from CareSource (Common Ground Healthcare) list John Budi 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.

When was this NPI record last updated?

The NPPES record for John Budi was last updated on May 26, 2023. 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.