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Active NPI 1043697618 Individual Practitioner Male Practitioner

Dr. Simon A Holoubek , DO

Surgery • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Simon Holoubek, DO is a certified Surgery practicing in Rockford, IL. With approximately 11 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 2015, Dr. Holoubek delivers high-quality medical care to the local community at 1340 CHARLES ST STE 100&405.

Dr. Holoubek maintains professional affiliations with University Of Wisconsin Medical Foundation Inc, Swedishamerican Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1340 Charles St Ste 100&405

Rockford, IL 611042200

Telephone 7796968700
Associated Practice Facility / Clinic
🏢 Swedishamerican Hospital Facility NPI 1689729535

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rockford, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -9.7 yrs vs City Avg
City Avg: 20.7 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
35 Specialists

Practicing in Rockford, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Holoubek (11 Years) 11 Yrs
Rockford Specialty Average (20.7 Years) 20.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $338.35 $123.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
14 13 $97.95 $34.34
99213 Established patient office or other outpatient visit, typically 15 minutes
13 13 $161.40 $61.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
11 11 $188.10 $76.33

Medical Specialties & State Licenses

CMS Verified: 2022-03-02
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036-157876

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License GA 85540

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 76254

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Swedishamerican Hospital

1340 Charles St, Rockford, IL 611042200

Swedishamerican Hospital

5665 N Junction Way, Davis Junction, IL 610209433

Phone: 7796969200

Swedishamerican Hospital

1700 Henry Luckow Ln, Belvidere, IL 610081702

Phone: 7796968650

Swedishamerican Hospital

1401 E State St, Rockford, IL 611042315

Phone: 8154894400

Swedishamerican Hospital

230 W Blackhawk Dr, Byron, IL 610108988

Phone: 7796961300

Swedishamerican Hospital

815 Marchesano Dr, Rockford, IL 611023521

Phone: 7796965950

Swedishamerican Hospital

2909 N Main St, Rockford, IL 611033100

Phone: 7796965000

University Of Wisconsin Medical Foundation Inc

4602 Eastpark Blvd, Madison, WI 537182002

Phone: 6084406400

Swedishamerican Hospital

6824 Newburg Rd, Rockford, IL 611084330

Phone: 7796967610

Swedishamerican Hospital

2404 Charles St, Rockford, IL 611081602

Phone: 7796967910

Secondary Practice Locations

600 Highland Ave

Madison, WI 537921010

Phone: 6082637502

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Drew Pearson , APN

Nurse Practitioner

NPI 1124526652

Advanced Practice Nurse

Dr. Mary Bohne , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1144612920

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1205280294

Doctor of Osteopathic Medicine (D.O.)

Christine Thomas

Physician Assistant

NPI 1306563440
NPI 1366612012

Doctor of Medicine (M.D.)

NPI 1407926926

Doctor of Osteopathic Medicine (D.O.), FACS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Business Mailing Address November 03, 2021

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2021

Otolaryngology (License #85540 in GA)

📍
Updated Practice Location September 09, 2021

Registered at 1340 CHARLES ST STE 100&405, ROCKFORD, IL 611042200 (Tel: 7796968700)

📍
Updated Business Mailing Address September 09, 2021

Registered at PO BOX 78866, MILWAUKEE, WI 532788866 (Tel: 7796967150)

👤
Provider Name / Credentials Updated September 09, 2021

Recorded as SIMON HOLOUBEK, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2021

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location August 27, 2020

Registered at 1120 15TH ST, AUGUSTA, GA 309121010 (Tel: 7067218623)

📍
Updated Business Mailing Address August 27, 2020

Registered at 1120 15TH ST STE BI1056, AUGUSTA, GA 309120004 (Tel: 7067213813)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2020

Otolaryngology (License #85540 in GA)

NPI Profile Active May 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2015

Registered at 20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION, OLYMPIA FIELDS, IL 604611010 (Tel: 7087474000)

📍
Updated Business Mailing Address May 02, 2015

Registered at 431 W OAKDALE AVE APT 9C, CHICAGO, IL 606575956 (Tel: 5157103162)

👤
Provider Name / Credentials Updated May 02, 2015

Recorded as SIMON HOLOUBEK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 02, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043697618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2015
Last Update: March 02, 2022
Sole Proprietor: No

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.