DR. MARK WALTER BOSBOUS – Plastic Surgery Physician, NPI 1033203906
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
125 PLASTIC AND RECONSTRUCTIVE SURGERY in WI
Provider Addresses for DR. MARK WALTER BOSBOUS
3200 Pleasant Valley Rd
PLASTIC SURGERY
West Bend, WI 530959274
Phone: (262) 836-7300
Fax: (262) 836-7301
Type: Location
4805 S Moorland Rd
New Berlin, WI 531517401
Phone: (262) 798-7200
Fax: (262) 798-7201
Type: Location
W180N8085 Town Hall Rd
Menomonee Falls, WI 530513518
Phone: (262) 257-5100
Fax: (262) 253-7081
Type: Location
Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
PLASTIC SURGERY
MILWAUKEE, WI 532263522
Phone: (414) 805-3666
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,116.
Total Amount is formed as General ($1,116) + Research ($0) + Ownership ($0) = $1,116.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Integra LifeSciences Corporation ($652).
Total Amount
$1,116
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $652 |
| Mentor Worldwide LLC | $163 |
| Musculoskeletal Transplant Foundation Inc. | $141 |
| KLS-Martin L.P. | $119 |
| Ethicon US, LLC | $41 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-07-11
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120711000155 | I | Plastic And Reconstructive Surgery | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 53095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Family Practice, Emergency Medicine | WI | |
| P S Y C H I A T R Y | WI | |
| Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| Rheumatology, Internal Medicine | WI | |
| Physical Therapist In Private Practice | WI |
Reviews
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