Kenosha Surgicenter LLC
NPI 1669111274 · 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)
Kenosha Surgicenter LLC is a Ambulatory Surgical Clinic/Center organization in Kenosha, WI (NPI 1669111274).
Provider details
- NPI number
- 1669111274
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Russel Lein, Chief Executive Officer(414) 531-4327
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
4 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
159 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 Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 55 | $293 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 46 | $382 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 29 | $351 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 29 | $382 |
Typical Medicare-allowed amounts for these services range $293–$382 (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
Registry dates
- Enumerated
- 2022-06-01
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Frequently asked questions
- What is Kenosha Surgicenter LLC's NPI number?
- Kenosha Surgicenter LLC's National Provider Identifier (NPI) is 1669111274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenosha Surgicenter LLC?
- Kenosha Surgicenter LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kenosha Surgicenter LLC located?
- Kenosha Surgicenter LLC's practice location on file with NPPES is 10105 74th St Ste 102, Kenosha, WI 53142-7530.
- What is Kenosha Surgicenter LLC's phone number?
- The practice phone number listed in the NPPES registry for Kenosha Surgicenter LLC is (262) 297-7246.
- Does Kenosha Surgicenter LLC accept Medicare?
- Kenosha Surgicenter 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 Kenosha Surgicenter LLC?
- The authorized official listed on Kenosha Surgicenter LLC's NPPES record is Russel Lein, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenosha Surgicenter LLC's NPI active?
- Yes — Kenosha Surgicenter LLC's NPI (1669111274) is active in the NPPES registry as of the last update on 2022-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.