BRUCE A SEMON (MD) – Psychiatry Physician, NPI 1114020773
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
677 PSYCHIATRY in WI
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Provider Addresses for BRUCE A SEMON (MD)
5555, North Port Washington Road, Glendale, Milwaukee County, Wisconsin, 53217, United States
#200
GLENDALE, WI 532174927
Phone: (414) 962-6100
Fax: (414) 962-6470
Type: Mailing
3900 W BROWN DEER RD STE 200
MILWAUKEE, WI 532091220
Phone: (414) 540-2170
Fax: (414) 540-2171
Type: Mailing
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: 2004-02-19
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 |
|---|---|---|---|---|
| I20040219000202 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 51 | $0 |
Insurance plans in this area (ZIP 53217)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | WI | 90792 | Psychiatric diagnostic evaluation with medical services | 34 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | WI | |
| Marriage And Family Therapist | WI | |
| Clinical Social Worker | WI | |
| Marriage And Family Therapist | WI | |
| Marriage And Family Therapist | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Clinical Psychologist | WI | |
| Mental Health Counselor | WI |
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