Prohealth Oconomowoc Memorial Hospital, Inc.
NPI 1497942205 · Community/Retail Pharmacy · Oconomowoc, WI
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prohealth Oconomowoc Memorial Hospital, Inc. is a Community/Retail Pharmacy organization in Oconomowoc, WI (NPI 1497942205).
Provider details
- NPI number
- 1497942205
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Thomas Johnson, Reimbursement Manager(262) 928-4704
- License
- 8772 (WI)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 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
12 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) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 12 | $29 |
Typical Medicare-allowed amounts for these services range $29–$29 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Prohealth Pharmacy - Oconomowoc
- Doing business as
- Prohealth Pharmacy - Oconomowoc
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2022-12-14
- Certified
- 2022-12-14
Frequently asked questions
- What is Prohealth Oconomowoc Memorial Hospital, Inc.'s NPI number?
- Prohealth Oconomowoc Memorial Hospital, Inc.'s National Provider Identifier (NPI) is 1497942205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prohealth Oconomowoc Memorial Hospital, Inc.?
- Prohealth Oconomowoc Memorial Hospital, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Prohealth Oconomowoc Memorial Hospital, Inc. located?
- Prohealth Oconomowoc Memorial Hospital, Inc.'s practice location on file with NPPES is 791 Summit Ave Ste 1106, Oconomowoc, WI 53066-3844.
- What is Prohealth Oconomowoc Memorial Hospital, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Prohealth Oconomowoc Memorial Hospital, Inc. is (262) 569-0284.
- Does Prohealth Oconomowoc Memorial Hospital, Inc. accept Medicare?
- Prohealth Oconomowoc Memorial Hospital, Inc. 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 Prohealth Oconomowoc Memorial Hospital, Inc.?
- The authorized official listed on Prohealth Oconomowoc Memorial Hospital, Inc.'s NPPES record is Thomas Johnson, Reimbursement Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prohealth Oconomowoc Memorial Hospital, Inc.'s NPI active?
- Yes — Prohealth Oconomowoc Memorial Hospital, Inc.'s NPI (1497942205) is active in the NPPES registry as of the last update on 2022-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.