JOHN C LESNIAK M.D.
NPI 1912979451
Family Medicine in Hartland, WI

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC., HARTLAND, WI 53029(262) 928-7500 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John C Lesniak M.d. NPPES

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

JOHN C LESNIAK M.D. (NPI 1912979451) is an individual family medicine provider in Hartland, Wisconsin, licensed in Wisconsin (40186) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1997).

NPPES Registry Identity

NPI1912979451
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN C LESNIAKCredential: M.D.
Location Address1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC.Hartland, WI 53029-9317
Mailing Address1500 Walnut Ridge Dr, Prohealth Care Medical Associates, Inc.Hartland, WI 53029-9317 · (262) 928-7500
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1997
Enumeration DateFebruary 7, 2006
Last NPPES UpdateApril 20, 2012
NPI 1912979451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 40186
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1500 WALNUT RIDGE DR, Hartland, WI 53029

Other Identifiers 4

Medicaid32480400WI
Medicare UPING78401WI
Medicare PIN000368275WI
Medicare PIN683750633WI

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

John C Lesniak M.d. 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 ID6901826080
PECOS Enrollment IDI20051205000308
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 9

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.
251 services175 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
161 services161 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.
129 services98 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
30 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
18 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53029 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims43 services$5.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims16 services$1.06 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 8

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

Family Medicine
1500 WALNUT RIDGE DR
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES
HARTLAND, WI 53029
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
HARTLAND, WI 53029
Nurse Practitioner (Family)
1500 WALNUT RIDGE DR
HARTLAND, WI 53029

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 Lesniak's NPI number?

The NPI number for John Lesniak is 1912979451. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is John Lesniak located?

John Lesniak practices at 1500 Walnut Ridge Dr Prohealth Care Medical Associates, Inc., Hartland, WI 53029. The listed phone number is (262) 928-7500.

What is John Lesniak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Lesniak enrolled in Medicare?

Yes. John Lesniak 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 Lesniak accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list John Lesniak 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 Lesniak affiliated with any hospitals?

According to CMS data, John Lesniak is affiliated with Waukesha Memorial Hospital, Oconomowoc Memorial Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for John Lesniak was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.