Active NPI
William S. Bodemer, M.D.
- Orthopaedic Surgery Physician
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 44737
- Practice address
- 5320 W Michaels Dr
Appleton, WI 54913 - Phone
- (920) 882-8200
- Fax
- (920) 882-8210
- NPI assigned
- May 11, 2006
- Last updated
- Oct 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | TL1091 | WY | |
| Orthopaedic Surgery Physician | 207X00000X | 44737 | WI | Primary |
Addresses
Primary practice location
5320 W Michaels Dr
Appleton, WI 54913
Mailing address
5320 W Michaels Dr
Appleton, WI 54913-8446
Phone (920) 882-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100011384 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Wisconsin School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Division St
Suite J
Stevens Point, WI 54481-1843
Phone (715) 544-1774
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.83 of 100
- Quality
- 48.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 54.62
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44737 | WI | MD | Orthopaedic Surgery Physician |
| TL1091 | WY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurospine Center of Wisconsin, S.C. | Current | Accepting new patients | |
| Orthopedic Associates of Sauk Prairie S.C. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
5320 W Michaels Dr
Grand Chute, WI 54913
Phone (920) 735-7650
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
1380 Tullar Rd
Neenah, WI 54956
Phone (920) 205-0379
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Stevens Point, WI
- NPI 1184955981
-
- Neurological Surgery Physician
- Appleton, WI
- NPI 1053321620
-
- Orthopaedic Surgery Physician
- Prairie Du Sac, WI
- NPI 1558348201
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Practice Physician
- Stevens Point, WI
- NPI 1184082745
Hospital
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1497705370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 W MICHAELS DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138446",
"telephone_number": "920-882-8200",
"fax_number": "920-882-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 W MICHAELS DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "54913",
"telephone_number": "920-882-8200",
"fax_number": "920-882-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODEMER",
"first_name": "WILLIAM",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WY",
"license": "TL1091",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "44737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100011384",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.