Active NPI 1225145758 Individual Practitioner Male Practitioner

Dr. Stephen C Kmecak , MD

Surgery • Burlington, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Kmecak, MD is a certified Surgery practicing in Burlington, WI. With approximately 35 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1991, Dr. Kmecak delivers high-quality medical care to the local community at 709 SPRING VALLEY RD.

Dr. Kmecak is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level 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

709 Spring Valley Rd

Burlington, WI 531057614

Telephone 2627676020

Associated Practice Facility / Clinic

🏢 Aurora Medical Group, Inc. Facility NPI 1316498728

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Burlington, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs -1.0 yrs vs City Avg

City Avg: 36.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Burlington, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kmecak (35 Years) 35 Yrs

Burlington Specialty Average (36.0 Years) 36.0 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	29	29	$755.00	$155.80
99213 Established patient office or other outpatient visit, typically 15 minutes	24	19	$350.00	$85.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$620.00	$120.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$510.00	$103.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$915.00	$160.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$515.00	$120.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	22	$370.00	$70.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$597.90	$115.91
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$330.00	$86.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	17	$500.00	$108.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$720.00	$158.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$485.00	$106.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$490.00	$122.52
49650 Repair of groin hernia using an endoscope	17	17	$6132.94	$468.88
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$9031.00	$607.69
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$435.00	$78.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$875.00	$165.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$230.00	$54.11

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	42	42	$687.00	$156.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	33	$355.00	$66.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$460.00	$106.92
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$313.00	$87.27
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$415.00	$92.52
93880 Ultrasound of both sides of head and neck blood flow	31	31	$510.00	$37.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	25	$480.00	$97.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$565.00	$127.90
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	20	20	$8610.75	$662.40
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	15	$1320.00	$294.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$465.00	$123.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$220.00	$54.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	137	136	$490.00	$37.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$645.00	$162.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$430.00	$108.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$438.44	$123.23
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$295.00	$88.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	22	$330.00	$64.73
93922 Ultrasound study of arm and leg arteries	29	29	$160.00	$11.91
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$397.04	$95.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$210.00	$54.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	14	$450.00	$99.51
93925 Ultrasound of leg arteries or artery grafts	21	21	$530.00	$35.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$556.50	$117.45
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$8287.50	$663.34
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$300.00	$70.48
49650 Repair of groin hernia using an endoscope	12	12	$4983.33	$429.45
93926 Ultrasound of one leg arteries or artery grafts	11	11	$320.00	$22.51
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$370.00	$32.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$790.00	$192.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	351	340	$450.00	$38.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	124	113	$220.00	$21.68
93922 Ultrasound study of arm and leg arteries	106	92	$180.00	$12.10
93926 Ultrasound of one leg arteries or artery grafts	81	64	$350.00	$23.60
93925 Ultrasound of leg arteries or artery grafts	71	68	$570.00	$38.44
93970 Ultrasound study of arm or leg veins with compression and maneuvers	63	63	$360.00	$33.65
93924 Ultrasound study of arteries of both legs at rest and exercise	48	47	$350.00	$23.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	27	$430.00	$102.33
93923 Complete ultrasound study of arm and leg arteries	41	41	$310.00	$21.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	27	$315.00	$70.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$407.00	$104.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$608.00	$159.55
99221 Initial hospital inpatient care per day, typically 30 minutes	30	28	$375.00	$98.75
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$281.00	$72.92
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	25	23	$440.00	$38.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$420.58	$106.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$599.71	$137.87
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$286.00	$73.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$510.00	$134.16
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$7984.17	$686.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$1210.00	$282.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	391	381	$410.00	$38.92
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	181	157	$210.00	$21.86
93926 Ultrasound of one leg arteries or artery grafts	87	70	$370.00	$23.44
93924 Ultrasound study of arteries of both legs at rest and exercise	82	81	$380.00	$23.79
93922 Ultrasound study of arm and leg arteries	78	69	$190.00	$12.12
93970 Ultrasound study of arm or leg veins with compression and maneuvers	67	65	$340.00	$33.40
93925 Ultrasound of leg arteries or artery grafts	52	51	$610.00	$38.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	35	$307.00	$70.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$389.00	$104.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	28	$419.00	$100.95
99221 Initial hospital inpatient care per day, typically 30 minutes	39	36	$360.00	$97.33
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$265.00	$71.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$582.00	$158.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	24	$390.52	$105.54
93923 Complete ultrasound study of arm and leg arteries	24	24	$340.00	$21.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$572.45	$132.09
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$273.00	$73.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$488.00	$132.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	12	$1130.00	$283.73
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$8102.86	$660.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$191.00	$43.63
46600 Diagnostic examination of the anus using an endoscope	14	12	$380.00	$92.58
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	13	12	$55.00	$11.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	75	$376.91	$99.56
99213 Established patient office or other outpatient visit, typically 15 minutes	61	52	$254.20	$66.86
93880 Ultrasound of both sides of head and neck blood flow	52	52	$390.00	$38.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	25	$399.00	$97.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	35	$540.00	$139.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	27	$292.00	$68.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	11	$182.00	$24.29
99213 Established patient office or other outpatient visit, typically 15 minutes	29	15	$252.00	$49.12
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$415.00	$89.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$182.00	$41.23
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	19	$200.00	$21.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$465.00	$130.64
93924 Ultrasound study of arteries of both legs at rest and exercise	11	11	$400.00	$23.42
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$1080.00	$257.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	57	$241.86	$68.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	55	$356.00	$103.02
93880 Ultrasound of both sides of head and neck blood flow	59	58	$372.00	$38.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	20	$173.06	$41.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	45	$515.94	$132.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	27	$278.00	$69.44
99221 Initial hospital inpatient care per day, typically 30 minutes	34	31	$386.50	$90.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	22	$380.00	$100.23
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	20	20	$194.00	$21.51
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$7292.65	$609.55
93922 Ultrasound study of arm and leg arteries	13	13	$199.00	$12.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$457.00	$131.01

Medical Specialties & State Licenses

CMS Verified: 2025-09-17

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 34637

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

32365900 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

709 Spring Valley Rd, Burlington, WI 531057614

Phone: 2627676020

Practice Associates & Co-Workers

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

21 Associated Practitioners

Steven Ropers

Anesthesiology

NPI 1043522600

Jennifer Merker-Horton , NP

Nurse Practitioner

NPI 1043647027

Nurse Practitioner

Jody Huebner , MS

Audiologist

NPI 1063547982

Master of Science

Laura Schemm , PA-C

Physician Assistant

NPI 1073996997

Physician Assistant (Certified)

James Waller , PA-C

Physician Assistant

NPI 1093375966

Physician Assistant (Certified)

Elijah Hinton , PA-C

Physician Assistant

NPI 1164962833

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 17, 2025

Registered at 709 SPRING VALLEY RD, BURLINGTON, WI 531057614 (Tel: 2627676020)

📍

Updated Business Mailing Address September 17, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 248 MCHENRY ST, BURLINGTON, WI 53105 (Tel: 2627678266)

📍

Updated Business Mailing Address July 09, 2007

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4146476326)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as STEPHEN KMECAK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Surgery (License #34637 in WI)

🟢

Initial NPI Registration & Enumeration August 23, 2006

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: 1225145758

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 23, 2006

Last Update: September 17, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.