WILLIAM J JERANEK MD
NPI 1013941194
Family Medicine in Pleasant Prairie, WI

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
9555 76TH STREET, PLEASANT PRAIRIE, WI 53158(262) 577-8300 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William J Jeranek Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM J JERANEK MD (NPI 1013941194) is an individual family medicine provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (21271) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of University Of Wisconsin School Of Medicine (1976).

NPPES Registry Identity

NPI1013941194
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM J JERANEKCredential: MD
Location Address9555 76TH STREETPleasant Prairie, WI 53158
Mailing Address9555 76th StreetPleasant Prairie, WI 53158
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1976
Enumeration DateJuly 11, 2006
Last NPPES UpdateMarch 13, 2008
NPI 1013941194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 21271
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9555 76TH STREET, Pleasant Prairie, WI 53158

Other Identifiers 2

Medicare UPINB53860
Medicaid30270200WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

William J Jeranek Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931392875
PECOS Enrollment IDI20101022001216
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
432 services170 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
34 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers28 claims64 services$5.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Obstetrics & Gynecology
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Radiology (Diagnostic Radiology)
9555 76TH STREET, UHS ST CATHERINES CAMPUS
PLEASANT PRAIRIE, WI 53158
Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Internal Medicine (Nephrology)
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Jeranek's NPI number?

The NPI number for William Jeranek is 1013941194. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is William Jeranek located?

William Jeranek practices at 9555 76th Street, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8300.

What is William Jeranek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Jeranek enrolled in Medicare?

Yes. William Jeranek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Jeranek accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health list William Jeranek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Jeranek affiliated with any hospitals?

According to CMS data, William Jeranek is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for William Jeranek was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.