SCOTT A JORGENSEN M.D.
NPI 1184654725
Internal Medicine in Mequon, WI

Q: What is Scott Jorgensen's NPI number?

The NPI number for Scott Jorgensen is 1184654725. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Scott Jorgensen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Jorgensen was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment

81.48/100

CMS Quality Rating

13133 N PORT WASHINGTON RD, SUITE G18, MEQUON, WI 53097(262) 243-5000(262) 243-5317 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Scott A Jorgensen M.d. NPPES

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

SCOTT A JORGENSEN M.D. (NPI 1184654725) is an individual internal medicine provider in Mequon, Wisconsin, licensed in Wisconsin (31133) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Medical College Of Wisconsin (1986).

NPPES Registry Identity

NPI1184654725

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSCOTT A JORGENSENCredential: M.D.

Location Address13133 N PORT WASHINGTON RD, SUITE G18Mequon, WI 53097-2419

Mailing Address788 N Jefferson St, Suite 300/attn. Kaaren ButzenMilwaukee, WI 53202-3718 · (414) 272-8950 · Fax (414) 272-0859

Phone(262) 243-5000

Fax(262) 243-5317

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 1986

Enumeration DateJuly 3, 2006

Last NPPES UpdateNovember 9, 2016

✔ NPI 1184654725 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 · 31133

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.

13133 N PORT WASHINGTON RD, Mequon, WI 53097

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Other Identifiers 2

Medicare UPINK400237129WI

Medicaid1184654725WI

Accepted Insurance

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

Scott A Jorgensen 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 ID1850374810

PECOS Enrollment IDI20100315000549

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 16

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 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.

368 services254 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.

258 services258 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

214 services204 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

181 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

172 services165 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

161 services15 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.

95 services82 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

55 services16 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.

35 services34 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

30 services30 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

12 services12 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

12 services11 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.

12 services12 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

11 services11 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.

11 services11 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 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

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI

OwnershipPhysician

CMS Certification Number520194

Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53097 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.

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.

81.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.39

Promoting Interoperability

100

Improvement Activities

Cost

49.87

Referred Medical Equipment & Supplies CMS DME claims 9

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

3 suppliers12 claims34 services$5.83 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers15 claims52 services$19.40 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

6 suppliers14 claims14 services$49.35 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers19 claims78 services$2.11 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$34.68 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$57.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MRS. MARY KATHERINE KAUTZ APNP

Nurse Practitioner (Gerontology)

13133 N PORT WASHINGTON RD, SUITE 122
MEQUON, WI 53097

Ozaukee County (262) 243-3700

MILWAUKEE ORTHOPAEDIC GROUP LTD

Specialist

13133 N PORT WASHINGTON RD, SUITE 104
MEQUON, WI 53097

Ozaukee County (414) 276-6000

KATHARINE W. SCHENCK PA-C

Physician Assistant

13133 N PORT WASHINGTON RD, SUITE 104
MEQUON, WI 53097

Ozaukee County (262) 243-5044

DREW M ELGIN M.D.

Internal Medicine (Gastroenterology)

13133 N PORT WASHINGTON RD, SUITE G16
MEQUON, WI 53097

Ozaukee County (262) 243-2500

JOAN T. HARNEY GNADT, MD, SC

Internal Medicine (Cardiovascular Disease)

13133 N PORT WASHINGTON RD, SUITE 11
MEQUON, WI 53097

Ozaukee County (262) 243-6000

CANDACE MOORE NP

Nurse Practitioner

13133 N PORT WASHINGTON RD, SUITE G-18
MEQUON, WI 53097

Ozaukee County (262) 243-5000

EAMEN GEBOY APNP

Nurse Practitioner (Adult Health)

13133 N PORT WASHINGTON RD
MEQUON, WI 53097

Ozaukee County (262) 243-5000

ASCENSION WISCONSIN PHARMACY, INC

Pharmacy (Community/Retail Pharmacy)

13133 N PORT WASHINGTON RD, SUITE G01
MEQUON, WI 53097

Ozaukee County (262) 243-6700

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 Scott Jorgensen's NPI number?

The NPI number for Scott Jorgensen is 1184654725. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Scott Jorgensen located?

Scott Jorgensen practices at 13133 N Port Washington Rd Suite G18, Mequon, WI 53097. The listed phone number is (262) 243-5000.

What is Scott Jorgensen's specialty?

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

Is Scott Jorgensen enrolled in Medicare?

Yes. Scott Jorgensen 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 Scott Jorgensen accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Scott Jorgensen 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 Scott Jorgensen affiliated with any hospitals?

According to CMS data, Scott Jorgensen is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital, Orthopaedic Hospital Of Wisconsin and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Jorgensen was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.