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DR. JACK-KY WANG MD
NPI 1093744617
Family Medicine in Beloit, WI

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC, BELOIT, WI 53511(608) 364-2410(608) 364-1287 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jack-ky Wang Md NPPES

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

DR. JACK-KY WANG MD (NPI 1093744617) is an individual family medicine provider in Beloit, Wisconsin, licensed in Wisconsin (50353-020) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1093744617
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACK-KY WANGCredential: MD
Location Address1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INCBeloit, WI 53511-1842
Mailing Address1905 E. Huebbe Parkway, Beloit Health System, IncBeloit, WI 53511-1842 · (608) 364-2410 · Fax (608) 364-1287
Phone(608) 364-2410
Fax(608) 364-1287
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 3, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1093744617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 50353-020✔ Licensed in IL · 036-108395
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.
1905 E. HUEBBE PARKWAY, Beloit, WI 53511
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Other Identifiers 4

Medicare PIN216107008IL
Medicaid1093744617WI
Medicare UPINH92109IN
Medicare PIN543300058WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack-ky Wang 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 ID42319535
PECOS Enrollment IDI20070625000381, I20080109000815
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.

Medicare Billing Reassignment

Medicare enrollment records show Jack-ky Wang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beloit Health System Inc
Same address
General Practice
1905 E HUEBBE PKWY
Beloit, WI 53511
  • Reassigned Medicare billing, Wisconsin and Illinois enrollments
  • Also billed through NPI 1841485984 (Illinois)
  • 194 clinicians in this Medicare group
NPI 1679616361 (086) 364-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 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.
224 services170 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.
196 services196 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.
131 services108 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.
130 services106 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.
92 services92 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.
73 services60 patients

Hospital Affiliations CMS Care Compare 2

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

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

Referred Medical Equipment & Supplies CMS DME claims 13

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
15 suppliers120 claims305 services$5.65 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers56 claims74 services$0.99 avg. paid by Medicare
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4416
DME-Orthotic Devices · category DF010N
1 supplier13 claims390 services$2.25 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers13 claims13 services$37.99 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers12 claims12 services$54.59 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$19.76 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.

VIJAYA SOMARAJU M.D.
Internal Medicine (Infectious Disease)
1905 E. HUEBBE PARKWAY, BELOIT CLINIC
BELOIT, WI 53511
Rock County (608) 364-2240
STEVEN S. YANG M.D.
Internal Medicine (Gastroenterology)
1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-1460
WILLIAM M FITZGERALD II MD
Internal Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Rock County (608) 364-2200
MARIA M. POPLAWSKA GOETZEN MD
Family Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Rock County (608) 364-2410
ALAN J REHBEIN OD
Optometrist
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Rock County (608) 364-2200
MARIA E TAVERAS MD
Internal Medicine (Cardiovascular Disease)
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Rock County (608) 364-2400
DR. CHRISTEL TECARRO MD.
Family Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Rock County (608) 364-2240
KEVIN M TOMERA M.D.
Urology
1905 E. HUEBBE PARKWAY, BELOIT CLINIC
BELOIT, WI 53511
Rock County (608) 364-2470

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 Jack-ky Wang's NPI number?

The NPI number for Jack-ky Wang is 1093744617. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Jack-ky Wang located?

Jack-ky Wang practices at 1905 E. Huebbe Parkway Beloit Health System, Inc, Beloit, WI 53511. The listed phone number is (608) 364-2410.

What is Jack-ky Wang's specialty?

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

Is Jack-ky Wang enrolled in Medicare?

Yes. Jack-ky Wang 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.

Which organization bills Medicare for Jack-ky Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack-ky Wang reassigns Medicare benefits to Beloit Health System Inc (Beloit, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack-ky Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack-ky Wang accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Jack-ky Wang 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 Jack-ky Wang affiliated with any hospitals?

According to CMS data, Jack-ky Wang is affiliated with University Of Wi Hospitals & Clinics Authority and Beloit Health System.

When was this NPI record last updated?

The NPPES record for Jack-ky Wang was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.