JAMES CLARK IRCINK MD
NPI 1023545886
Family Medicine in Monona, WI

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
1050 E BROADWAY, MONONA, WI 53716(608) 222-8779(608) 222-8944 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2021, Jul 21, 2021, Dec 27, 2020 and 3 more (6 updates tracked since 2017).

About James Clark Ircink Md NPPES

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

JAMES CLARK IRCINK MD (NPI 1023545886) is an individual family medicine provider in Monona, Wisconsin, licensed in Wisconsin (71728-20) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Wisconsin School Of Medicine (2017).

NPPES Registry Identity

NPI1023545886
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES CLARK IRCINKCredential: MD
Location Address1050 E BROADWAYMonona, WI 53716-4023
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 222-8944
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateSeptember 22, 20216 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
NPI 1023545886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 71728-20 Licensed in WI · 71728
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.
Also ListedHospitalistTaxonomy 208M00000X · License 71728-20 (WI)
1050 E BROADWAY, Monona, WI 53716

Other Identifiers 1

Medicaid1023545886WI

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

James Clark Ircink 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 ID7012264245
PECOS Enrollment IDI20201015003341
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 12

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.
129 services76 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
99 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
96 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
95 services35 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.
46 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53716 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.63 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$172.82 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 20

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

Family Medicine
1050 E BROADWAY
MONONA, WI 53716
Physician Assistant (Medical)
1050 E BROADWAY
MONONA, WI 53716
Counselor (Professional)
1050 E BROADWAY
MONONA, WI 53716
Physical Therapist
1050 E BROADWAY
MONONA, WI 53716
Family Medicine
1050 E BROADWAY
MONONA, WI 53716
Physician Assistant (Medical)
1050 E BROADWAY
MONONA, WI 53716
Family Medicine
1050 E BROADWAY
MONONA, WI 53716
Physical Therapist
1050 E BROADWAY
MONONA, WI 53716

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 James Ircink's NPI number?

The NPI number for James Ircink is 1023545886. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is James Ircink located?

James Ircink practices at 1050 E Broadway, Monona, WI 53716. The listed phone number is (608) 222-8779.

What is James Ircink's specialty?

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

Is James Ircink enrolled in Medicare?

Yes. James Ircink 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 James Ircink accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list James Ircink 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 James Ircink affiliated with any hospitals?

According to CMS data, James Ircink is affiliated with Unitypoint Health - Meriter, University Of Wi Hospitals & Clinics Authority and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for James Ircink was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.