Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Simon A Holoubek , DO

Surgery โ€ข Rockford, IL

Active NPI 1043697618 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1340 Charles St Ste 100&405
Rockford, IL 611042200

Call 7796968700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1340 Charles St Ste 100&405

Rockford, IL 611042200

Telephone 7796968700
Organization at the Same NPPES Address or Phone
Swedishamerican Hospital Facility NPI 1689729535

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Madison, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Swedishamerican Hospital; University Of Wisconsin Medical Foundation Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

2015

Medicare patients

79 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $4,344 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $3,230 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

184 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$362 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $39,180.74 across 53 records.

By nature of payment

  • Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $29,505.00 across 10 records.
  • Travel and Lodging: $8,731.02 across 30 records.
  • Food and Beverage: $944.72 across 13 records.

Reporting-company totals

  • Medtronic, Inc.: $39,180.74 across 53 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Holoubek has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Holoubek as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Rockford and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Surgery in Rockford, IL (2024, 18 clinicians with data). Median for this group: 141. Middle half: 74 to 331.

Fewer Medicare Part B services than 85% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: 234. Middle half: 104 to 407.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Surgery in Rockford, IL (2024, 18 clinicians with data). Median for this group: $14,824. Middle half: $6,891 to $35,134.

A lower Medicare-allowed amount than 85% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: $32,979. Middle half: $12,408 to $58,178.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Surgery in Rockford, IL (2024, 18 clinicians with data). Median for this group: $11,119. Middle half: $4,790 to $26,906.

A lower Medicare payment amount than 85% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: $24,820. Middle half: $9,412 to $45,065.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Surgery in Rockford, IL (2024, 17 clinicians with data). Median for this group: 64. Middle half: 46 to 73.

More Part D prescriptions than 75% of clinicians listed under Surgery in Illinois (2024, 510 clinicians with data). Median for this group: 53. Middle half: 24 to 122.

Part D drug cost

Close to the middle for clinicians listed under Surgery in Rockford, IL (2024, 17 clinicians with data). Median for this group: $244. Middle half: $145 to $628.

Close to the middle for clinicians listed under Surgery in Illinois (2024, 510 clinicians with data). Median for this group: $323. Middle half: $103 to $1,257.

34 active clinicians are listed under Surgery with a practice address in Rockford, IL (1,523 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rockford

0% of these 34 clinicians have the CMS telehealth indicator.

52.9% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 53 records totaling $39,180.74.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
PTEYE PARATHYROID DETECTION SYSTEM General $4,620.00
Medtronic, Inc.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
โ€” General $4,620.00
Medtronic, Inc.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
PTEYE PARATHYROID DETECTION SYSTEM General $3,990.00
Medtronic, Inc.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
PTEYE PARATHYROID DETECTION SYSTEM General $3,780.00
Medtronic, Inc.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
PTEYE PARATHYROID DETECTION SYSTEM General $2,730.00
Medtronic, Inc.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
NIM VITAL General $2,730.00
Medtronic, Inc.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
PTEYE PARATHYROID DETECTION SYSTEM General $2,520.00
Medtronic, Inc.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
NIM VITAL General $1,995.00
Medtronic, Inc.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
PTEYE PARATHYROID DETECTION SYSTEM General $1,680.00
Medtronic, Inc.
Travel and Lodging
In-kind items and services
PTEYE PARATHYROID DETECTION SYSTEM General $1,409.33
Medtronic, Inc.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
โ€” General $840.00
Medtronic, Inc.
Travel and Lodging
In-kind items and services
PTEYE PARATHYROID DETECTION SYSTEM General $824.12
Medtronic, Inc.
Travel and Lodging
In-kind items and services
PTEYE PARATHYROID DETECTION SYSTEM General $650.64
Medtronic, Inc.
Travel and Lodging
In-kind items and services
PTEYE PARATHYROID DETECTION SYSTEM General $644.96
Medtronic, Inc.
Travel and Lodging
In-kind items and services
NIM VITAL General $573.30
Medtronic, Inc.
Travel and Lodging
In-kind items and services
โ€” General $533.29
Medtronic, Inc.
Travel and Lodging
In-kind items and services
PTEYE PARATHYROID DETECTION SYSTEM General $436.97
Medtronic, Inc.
Travel and Lodging
In-kind items and services
NIM VITAL General $382.40
Medtronic, Inc.
Travel and Lodging
In-kind items and services
PTEYE PARATHYROID DETECTION SYSTEM General $328.43
Medtronic, Inc.
Travel and Lodging
In-kind items and services
PTEYE PARATHYROID DETECTION SYSTEM General $315.16
Medtronic, Inc.
Travel and Lodging
In-kind items and services
โ€” General $309.00
Medtronic, Inc.
Travel and Lodging
In-kind items and services
โ€” General $286.65
Medtronic, Inc.
Travel and Lodging
In-kind items and services
โ€” General $286.65
Medtronic, Inc.
Travel and Lodging
In-kind items and services
โ€” General $279.96
Medtronic, Inc.
Travel and Lodging
In-kind items and services
โ€” General $254.13

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2020โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 with low level od decision making, if using time, 20 minutes or more
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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ondansetron Hcl Ondansetron Hcl 48 177 $58.84 47
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 41 193 $146.66 40
Levothyroxine Sodium Levothyroxine Sodium 33 2,850 $156.99 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-02
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20211026001357

Enrollment State Jurisdiction

WI

PECOS Control ID

9335434554

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
NPI 1619972643

Doctor of Medicine (M.D.)

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

Nurse Practitioner - Family

NPI 1144612920

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

Catherine Bopp , PA-C

Physician Assistant

NPI 1598310849

Physician Assistant (Certified)

NPI 1407926926

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

NPI 1205280294

Doctor of Osteopathic Medicine (D.O.)

NPI 1366612012

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿ“
Updated Business Mailing Address November 03, 2021

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2021

Otolaryngology (license number reported to NPPES: GA 85540)

๐Ÿ“
Updated Practice Location September 09, 2021

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

๐Ÿ“
Updated Business Mailing Address September 09, 2021

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

๐Ÿ‘ค
Provider Name / Credentials Updated September 09, 2021

Recorded as SIMON HOLOUBEK, D.O.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2021

Student in an Organized Health Care Education/Training Program

๐Ÿ“
Updated Practice Location August 27, 2020

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

๐Ÿ“
Updated Business Mailing Address August 27, 2020

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

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2020

Otolaryngology (license number reported to NPPES: GA 85540)

โœ…
NPI Profile Active May 02, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 02, 2015

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

๐Ÿ“
Business Mailing Address (Initial Record) May 02, 2015

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 02, 2015

Recorded as SIMON HOLOUBEK

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2015

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration May 02, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

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

Other Surgery Specialists in Rockford

All Surgery Specialists in Rockford

More public profiles in Illinois

Directory navigation, in NPI number order.

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.