SIMONIDA KOKANOVIC (M.D.) – Family Medicine Physician, NPI 1063709749
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,050 FAMILY PRACTICE in WI
Provider Addresses for SIMONIDA KOKANOVIC (M.D.)
21425 SPRING ST
UNION GROVE, WI 531829707
Phone: (262) 878-2411
Fax: (262) 878-2922
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-07-06
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20110706000338 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 70 | 32 | $0 |
| G0008 | Administration of influenza virus vaccine | 49 | 36 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 31 | 24 | $0 |
| G0009 | Administration of pneumococcal vaccine | 22 | 22 | $0 |
| 0173A | Adm sarscv2 bvl 3mcg/0.2ml 3 | 16 | 16 | $0 |
Insurance plans in this area (ZIP 53182)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Internal Medicine | IL | |
| - | WI | |
| - | WI | |
| Physical Medicine And Rehabilitation | WI | |
| Family Practice | WI | |
| - | WI | |
| - | UT | |
| Family Practice | WI | |
| - | WI |
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