DJERRICK CU TAN M.D.
NPI 1124002654
Radiology - Diagnostic Radiology in Mequon, WI

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
10945 N PORT WASHINGTON RD STE 201, MEQUON, WI 53092(262) 292-3151 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 24, 2024, Nov 17, 2023, Feb 18, 2020 (3 updates tracked since 2020).

About Djerrick Cu Tan M.d. NPPES

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

DJERRICK CU TAN M.D. (NPI 1124002654) is an individual diagnostic radiology provider in Mequon, Wisconsin, licensed in Wisconsin (47802) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124002654
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDJERRICK CU TANCredential: M.D.
Location Address10945 N PORT WASHINGTON RD STE 201Mequon, WI 53092-5078
Mailing Address10945 N Port Washington Rd Ste 201Mequon, WI 53092-5078 · (262) 292-3151
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1999
Enumeration DateNovember 29, 2005
Last NPPES UpdateFebruary 23, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
NPI 1124002654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in WI · 47802 Licensed in MA · 1025471 Licensed in RI · MD20361
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

10945 N PORT WASHINGTON RD STE 201, Mequon, WI 53092

Secondary Practice Locations 2

Location 1211 Park StAttleboro, MA 02703-3143 · Phone (508) 222-5200
Location 2450 Veterans Memorial Pkwy Bldg 2East Providence, RI 02914-5300 · Phone (401) 435-3041 · Fax (401) 435-3042

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

Djerrick Cu Tan M.d. 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 ID1557315991
PECOS Enrollment IDI20050308001119
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 47

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
2,530 services14 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,130 services21 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
487 services455 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
251 services244 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
190 services185 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
153 services148 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
98%608 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Durable Medical Equipment & Medical Supplies
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Radiology (Vascular & Interventional Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092

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 Djerrick Tan's NPI number?

The NPI number for Djerrick Tan is 1124002654. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Djerrick Tan located?

Djerrick Tan practices at 10945 N Port Washington Rd Ste 201, Mequon, WI 53092. The listed phone number is (262) 292-3151.

What is Djerrick Tan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Djerrick Tan enrolled in Medicare?

Yes. Djerrick Tan 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 Djerrick Tan accept?

Health plans from CareSource (Common Ground Healthcare), Oscar Insurance Company and WellSense Health Plan list Djerrick Tan 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 Djerrick Tan affiliated with any hospitals?

According to CMS data, Djerrick Tan is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Djerrick Tan was last updated on February 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.