JASON PAUL REVOLINSKI M.D.
NPI 1164584215
Internal Medicine in Menomonee Falls, WI

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
W180N8000 TOWN HALL RD, MENOMONEE FALLS, WI 53051(262) 532-3200 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jason Paul Revolinski M.d. NPPES

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

JASON PAUL REVOLINSKI M.D. (NPI 1164584215) is an individual internal medicine provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (50161-020) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of Medical College Of Wisconsin (2005).

NPPES Registry Identity

NPI1164584215
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJASON PAUL REVOLINSKICredential: M.D.
Location AddressW180N8000 TOWN HALL RDMenomonee Falls, WI 53051-4002
Mailing Address820 E Grant StAppleton, WI 54911-3483 · (920) 731-5811
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2005
Enumeration DateDecember 15, 2006
Last NPPES UpdateApril 3, 2019
NPI 1164584215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 50161-020
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

W180N8000 TOWN HALL RD, Menomonee Falls, WI 53051

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

Jason Paul Revolinski 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 ID8729147590
PECOS Enrollment IDI20081107000555
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 2024 & 2026 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, 20-29 minutes 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.
445 services323 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.
318 services318 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
238 services180 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
25 services21 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
20 services20 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53051 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
19 suppliers89 claims224 services$5.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers33 claims42 services$0.97 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims62 services$1.40 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.

Dietitian, Registered
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Internal Medicine
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Registered Nurse (Diabetes Educator)
W180N8000 TOWN HALL RD, DIABETES AND NUTRITION EDUCATION SERVICES
MENOMONEE FALLS, WI 53051
Physician Assistant
W180N8000 TOWN HALL RD, NEPHROLOGY
MENOMONEE FALLS, WI 53051
Physician Assistant
W180N8000 TOWN HALL RD, TOWN HALL HEALTH CENTER
MENOMONEE FALLS, WI 53051
Urology
W180N8000 TOWN HALL RD, UROLOGY
MENOMONEE FALLS, WI 53051
Physician Assistant
W180N8000 TOWN HALL RD, RHEUMATOLOGY
MENOMONEE FALLS, WI 53051
Psychologist (Clinical)
W180N8000 TOWN HALL RD, DEPARTMENT OF PSYCHIATRY
MENOMONEE FALLS, WI 53051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164584215, enumerated as an "individual" on December 15, 2006.

The provider is located at W180N8000 TOWN HALL RD MENOMONEE FALLS, WI 53051 and the phone number is (262) 532-3200.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Network. Please consult your insurance carrier or call the provider to verify.

Jason Revolinski is affiliated with: ST JOSEPHS COMMUNITY HOSPITAL WEST BEND, COMMUNITY MEMORIAL HOSPITAL and FROEDTERT MEMORIAL LUTHERAN HOSPITAL.