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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: November 01, 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
Phone(262) 532-3200
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Revolinski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
0.1 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500

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 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 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.
377 services275 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.
295 services295 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.
181 services130 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
52 services52 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
51 services51 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
19 services19 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.

DR. NEIL HYDE MD
Family Medicine
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 532-3265
DR. SHIVARANJJANI THILLAIRAJAN MD
Student in an Organized Health Care Education/Training Program
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 532-3265
DR. KAJUA BETSY LOR PHARMD
Pharmacist
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500
SAMANTHA BETH HELLMAN AGPCNP-BC, APNP
Nurse Practitioner
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500
MS. LAURA L. FRANCK M.D.
Pediatrics
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500
KEVIN NGUYEN
Student in an Organized Health Care Education/Training Program
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 532-3265
DR. DREW RICHARD HIETPAS M.D.
Internal Medicine
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (414) 405-7569
DR. MANILA SODHI MD
Internal Medicine
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 255-2500

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 Jason Revolinski's NPI number?

The NPI number for Jason Revolinski is 1164584215. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Jason Revolinski located?

Jason Revolinski practices at W180n8000 Town Hall Rd, Menomonee Falls, WI 53051. The listed phone number is (262) 532-3200.

What is Jason Revolinski's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jason Revolinski enrolled in Medicare?

Yes. Jason Revolinski 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 Jason Revolinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Revolinski reassigns Medicare benefits to Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, 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 Jason Revolinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Revolinski accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Network Health list Jason Revolinski 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 Jason Revolinski affiliated with any hospitals?

According to CMS data, Jason Revolinski is affiliated with St Josephs Community Hospital West Bend, Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Jason Revolinski was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.