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JAGADEESWARA RAO MUSUNURU M.D.
NPI 1194940130
Psychiatry & Neurology - Psychiatry in Fond Du Lac, WI

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
77.77/100
CMS Quality Rating
459 E 1ST ST, FOND DU LAC, WI 54935(920) 929-3502 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jagadeeswara Rao Musunuru M.d. NPPES

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

JAGADEESWARA RAO MUSUNURU M.D. (NPI 1194940130) is an individual psychiatry provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (23168) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1194940130
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJAGADEESWARA RAO MUSUNURUCredential: M.D.
Location Address459 E 1ST STFond Du Lac, WI 54935-4505
Mailing Address459 E 1st StFond Du Lac, WI 54935-4505 · (920) 929-3502
Phone(920) 929-3502
Sole ProprietorNo
Medical School CMSOtherGraduated 1971
Enumeration DateApril 16, 2007
Last NPPES UpdateJanuary 22, 2008
✔ NPI 1194940130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in WI · 23168✔ Licensed in NE · 14564
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
459 E 1ST ST, Fond Du Lac, WI 54935
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Other Identifiers 2

Medicare UPINB85098WI
Medicaid30356800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), Security Health Plan.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

Jagadeeswara Rao Musunuru 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 ID5799689378
PECOS Enrollment IDI20080919000293
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 Reassignments

3

Medicare enrollment records show Jagadeeswara Musunuru reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension NE Wisconsin, Inc
19 mi
General Acute Care Hospital
500 S OAKWOOD RD
Oshkosh, WI 54904
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
NPI 1912527193 (920) 223-2000
Thedacare, Incorporated
31 mi
Counselor
1095 MIDWAY RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
NPI 1306959515 (920) 720-2300
County Of Outagamie
33 mi
Mental Health (Including Community Mental Health Center)
320 S. WALNUT ST.
Appleton, WI 54911
  • Reassigned Medicare billing, Wisconsin enrollment
  • 23 clinicians in this Medicare group
NPI 1629138995 (920) 832-4741

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 2

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.
106 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

77.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.47
Promoting Interoperability77
Improvement Activities40
Cost63.8

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.

JENNA R PIEPER
Counselor (Addiction (Substance Use Disorder))
459 E 1ST ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-3500
DR. ESPEN KLAUSEN PH.D.
Psychologist
459 E 1ST ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-3529
JEANNE HELLMAN
Social Worker
459 E 1ST ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-7042
BRIANA LYNN TECKENBURG PTA
Physical Therapy Assistant
459 E 1ST ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-3500
KATHLEEN ARPKE
Social Worker
459 E 1ST ST
FOND DU LAC, WI 54935
Fond Du Lac County (929) 906-5131
LINDA ROOS-STUTZ
Occupational Therapist
459 E 1ST ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-3539
SANDRA M SCHUG MS, LPC-IT, CSAC
Counselor (Professional)
459 E 1ST ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-3500
FOND DU LAC COUNTY DCP CASE MANAGEMENT
Case Management
459 E 1ST ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-3500

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 Jagadeeswara Musunuru's NPI number?

The NPI number for Jagadeeswara Musunuru is 1194940130. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Jagadeeswara Musunuru located?

Jagadeeswara Musunuru practices at 459 E 1st St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-3502.

What is Jagadeeswara Musunuru's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jagadeeswara Musunuru enrolled in Medicare?

Yes. Jagadeeswara Musunuru 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 organizations bill Medicare for Jagadeeswara Musunuru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jagadeeswara Musunuru reassigns Medicare benefits to 3 organizations: Ascension NE Wisconsin, Inc (Oshkosh, WI), Thedacare, Incorporated (Menasha, WI) and County Of Outagamie (Appleton, WI). Each 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 Jagadeeswara Musunuru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jagadeeswara Musunuru accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and Security Health Plan list Jagadeeswara Musunuru 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.

When was this NPI record last updated?

The NPPES record for Jagadeeswara Musunuru was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.