Wisconsin Specialty Surgery Center,llc
NPI 1053721530 · Ambulatory Surgical Clinic/Center · Kenosha, WI
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wisconsin Specialty Surgery Center,llc is a Ambulatory Surgical Clinic/Center organization in Kenosha, WI (NPI 1053721530).
Provider details
- NPI number
- 1053721530
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Hartshorn, Officer/Authorized Official(314) 800-2017
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
26,487 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection, Bupivacaine Liposome, 1 MgC9290 | 25,536 | $1 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 200 | $351 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 169 | $456 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 80 | $355 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 72 | $8,799 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance |
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-05-06
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Frequently asked questions
- What is Wisconsin Specialty Surgery Center,llc's NPI number?
- Wisconsin Specialty Surgery Center,llc's National Provider Identifier (NPI) is 1053721530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wisconsin Specialty Surgery Center,llc?
- Wisconsin Specialty Surgery Center,llc is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wisconsin Specialty Surgery Center,llc located?
- Wisconsin Specialty Surgery Center,llc's practice location on file with NPPES is 7401 104th Ave Ste 100, Kenosha, WI 53142-7845.
- What is Wisconsin Specialty Surgery Center,llc's phone number?
- The practice phone number listed in the NPPES registry for Wisconsin Specialty Surgery Center,llc is (262) 697-1006.
- Does Wisconsin Specialty Surgery Center,llc accept Medicare?
- Wisconsin Specialty Surgery Center,llc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wisconsin Specialty Surgery Center,llc?
- The authorized official listed on Wisconsin Specialty Surgery Center,llc's NPPES record is Christopher Hartshorn, Officer/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wisconsin Specialty Surgery Center,llc's NPI active?
- Yes — Wisconsin Specialty Surgery Center,llc's NPI (1053721530) is active in the NPPES registry as of the last update on 2025-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.