Michael Jung, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

53681-20 Issued in WI

Practice address

1000 Gateway CT Ste 100
West Bend, WI 53095-8541

Phone

(920) 204-6758

NPI assigned

Apr 10, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Spine and Pain SCGroup PAC ID 0345665469, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177
• St Josephs Community Hospital West Bend Hospital, West Bend, WI, CCN 520063

Merit-based Incentive Payment System (MIPS)

Final score

89.02 of 100Reported as group

Quality

82.89

Improvement activities

40

Cost

74.29

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjung106801@ewd.direct.hshs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wisconsin Spine and Pain SC

  • Interventional Pain Medicine Physician
  • Sheboygan, WI
  • NPI 1790309276

  WI

  Medicare reassignment Care Compare group NPD Authorized official
• Wisconsin Spine and Pain SC

  • Durable Medical Equipment & Medical Supplies
  • Appleton, WI
  • NPI 1285452391

  Pain Medicine

  NPD Authorized official
• Wisconsin Spine and Pain SC

  • Durable Medical Equipment & Medical Supplies
  • West Bend, WI
  • NPI 1154149367

  Pain Medicine

  NPD (past) Authorized official
• Wisconsin Spine and Pain SC

  • Durable Medical Equipment & Medical Supplies
  • Waukesha, WI
  • NPI 1487472593
  NPD (past) Authorized official
• Wisconsin Spine and Pain SC

  • Durable Medical Equipment & Medical Supplies
  • Green Bay, WI
  • NPI 1649098856

  Pain Medicine

  NPD (past) Authorized official
• Wisconsin Spine and Pain SC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
  • NPI 1982422192

  Pain Medicine

  NPD (past) Authorized official
• Advanced Pain Management SC

  • Pain Medicine Physician
  • Greenfield, WI
  • NPI 1770506669

  Pain Medicine

  NPD
• Advanced Pain Management, SC

  • Durable Medical Equipment & Medical Supplies
  • Evansville, IN
  • NPI 1669832655
  NPD
• Madison Surgicenter LLC

  • Ambulatory Surgical Clinic/Center
  • Madison, WI
  • NPI 1386387116
  NPD (past)
• Advanced Pain Treatment of Chicago SC

  • Interventional Pain Medicine Physician
  • Munster, IN
  • NPI 1942818109
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Froedtert Memorial Lutheran Hospital, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1255334173

  Hospital

  Care Compare affiliation
• St. Josephs Community Hospital of West Bend Inc.

  • General Acute Care Hospital
  • West Bend, WI
  • NPI 1851336044

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1861665747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT CH 17057",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600557057",
            "telephone_number": "920-204-6758",
            "fax_number": "888-720-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GATEWAY CT STE 100",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958541",
            "telephone_number": "920-204-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WI",
            "license": "53681-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjung106801@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1000 Gateway Ct Ste 100",
            "city": "West Bend",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530958541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mara Jones, LPC-IT, SAC-IT
• Megan Jourdan, M.D.
• Jason Jugan, CADC III, BS
• Madison Jumper, DC
• April Jung
• Allison Danielle Kaczmarek, APNP
• David J Kaiser, DO
• Melissa Johanna Kaiser, MS, CCC-SLP
• Sailaja Kamaraju, MD
• Ashley Marie Kane, SLP

• Pain Medicine Physician in West Bend, WI
• Providers in West Bend, WI by specialty
• Pain Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.