WENJING CAI MD
NPI 1073004610
Internal Medicine - Gastroenterology in Pleasant Prairie, WI

Active since May 18, 2018PECOS EnrolledAccepts Medicare Assignment
9697 SAINT CATHERINES DR STE 101, PLEASANT PRAIRIE, WI 53158(262) 653-5330 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Jun 14, 2021, May 18, 2018 (3 updates tracked since 2018).

About Wenjing Cai Md NPPES

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

WENJING CAI MD (NPI 1073004610) is an individual gastroenterology provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (84234) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Indiana University School Of Medicine (2018).

NPPES Registry Identity

NPI1073004610
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameWENJING CAICredential: MD
Location Address9697 SAINT CATHERINES DR STE 101Pleasant Prairie, WI 53158-2118
Mailing Address6308 8th AveKenosha, WI 53143-5031
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2018
Enumeration DateMay 18, 2018
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1073004610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in WI · 84234
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
9697 SAINT CATHERINES DR STE 101, Pleasant Prairie, WI 53158

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

Wenjing Cai 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 ID4385971332
PECOS Enrollment IDI20240826000692
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 7

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
29 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 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.
26 services20 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
25 services25 patients
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.
23 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
9697 SAINT CATHERINES DR STE 101
PLEASANT PRAIRIE, WI 53158
Nurse Practitioner
9697 SAINT CATHERINES DR STE 101
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 Wenjing Cai's NPI number?

The NPI number for Wenjing Cai is 1073004610. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Where is Wenjing Cai located?

Wenjing Cai practices at 9697 Saint Catherines Dr Ste 101, Pleasant Prairie, WI 53158. The listed phone number is (262) 653-5330.

What is Wenjing Cai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Wenjing Cai enrolled in Medicare?

Yes. Wenjing Cai 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 Wenjing Cai 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 Wenjing Cai 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 Wenjing Cai affiliated with any hospitals?

According to CMS data, Wenjing Cai is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Wenjing Cai was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.