JAMES M CYGAN MD
NPI 1235145210
Internal Medicine in Wausau, WI

Q: What is James Cygan's NPI number?

The NPI number for James Cygan is 1235145210. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is James Cygan'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 James Cygan was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 31, 2006PECOS EnrolledAccepts Medicare Assignment

83.72/100

CMS Quality Rating

425 PINE RIDGE BLVD, SUITE 200, WAUSAU, WI 54401(715) 847-2480 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About James M Cygan Md NPPES

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

JAMES M CYGAN MD (NPI 1235145210) is an individual internal medicine provider in Wausau, Wisconsin, licensed in Wisconsin (45596) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Northwestern University Feinberg Medical School (1996).

NPPES Registry Identity

NPI1235145210

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAMES M CYGANCredential: MD

Location Address425 PINE RIDGE BLVD, SUITE 200Wausau, WI 54401-4123

Mailing AddressPo Box 1008Wausau, WI 54402-1008 · (715) 847-2304

Phone(715) 847-2480

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1996

Enumeration DateJuly 31, 2006

Last NPPES UpdateSeptember 18, 2009

✔ NPI 1235145210 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 · 45596

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.

425 PINE RIDGE BLVD, Wausau, WI 54401

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Other Identifiers 3

Medicare ID-Type Unspecified000439115WI

Medicaid34393500WI

Medicare UPINH86923WI

Accepted Insurance

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

James M Cygan Md 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 ID840238572

PECOS Enrollment IDI20050421001476, I20160122001268

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

Medicare enrollment records show James Cygan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspirus Wausau Hospital Inc

Same address

Clinic/Center

425 PINE RIDGE BLVD, SUITE 305B
Wausau, WI 54401

Reassigned Medicare billing, Wisconsin and Michigan enrollments
Also billed through NPI 1174601876 (Michigan)
633 clinicians in this Medicare group

NPI 1821328105 (715) 847-2036

Aspirus Medical Group, Inc.

0.5 mi

Podiatric

3200 WESTHILL DR STE 2200
Wausau, WI 54401

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Aspirus Riverview Hospital & Clinics Inc
397 clinicians in this Medicare group

NPI 1689976474 (715) 675-3231

Aspirus Stevens Point Hospital & Clinics, Inc.

30 mi

Clinic/Center

209 PRENTICE STREET NORTH
Stevens Point, WI 54481

Reassigned Medicare billing, Wisconsin enrollment
619 clinicians in this Medicare group

NPI 1679706022 (715) 345-5300

Aspirus Iron River Hospital & Clinics, Inc.

93 mi

Multi-Specialty

814 SOUTH ICE LAKE ROAD
Iron River, MI 49935

Reassigned Medicare billing, Michigan enrollment
187 clinicians in this Medicare group

NPI 1457865198 (906) 265-9189

Divine Savior Healthcare, Inc.

97 mi

General Acute Care Hospital

2817 NEW PINERY RD
Portage, WI 53901

Reassigned Medicare billing, Wisconsin enrollment
359 clinicians in this Medicare group

NPI 1124083894 (608) 742-4131

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 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.

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

349 services344 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

236 services229 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

233 services227 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

201 services197 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.

182 services165 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.

93 services84 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

86 services81 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

83 services83 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

82 services79 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

75 services75 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

51 services49 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

49 services49 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

47 services47 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.

36 services35 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

20 services20 patients

Sleep study in sleep lab (6 years or older) 95810

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520019

Location2251 North Shore DrRhinelander, WI 54501 · Oneida County

Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number520030

Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County

Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520033

Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County

Emergency services

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521324

Location135 S Gibson StMedford, WI 54451 · Taylor County

Emergency services Birthing friendly

Langlade Hospital

Critical Access Hospitals · Antigo, WI

OwnershipVoluntary non-profit - Church

CMS Certification Number521350

Location112 E Fifth AveAntigo, WI 54409 · Langlade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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.

83.72/100

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

Scored as part of a group practice

Quality

83.54

Promoting Interoperability

100

Improvement Activities

Cost

58.37

Referred Medical Equipment & Supplies CMS DME claims 28

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

16 suppliers192 claims192 services$42.13 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

17 suppliers222 claims222 services$103.48 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

19 suppliers251 claims580 services$39.76 avg. paid by Medicare

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

DME-Other DME · category DE001N

11 suppliers69 claims355 services$22.34 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

8 suppliers38 claims191 services$15.79 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

14 suppliers108 claims108 services$61.53 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

23 suppliers212 claims212 services$21.99 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

7 suppliers17 claims17 services$10.77 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

16 suppliers126 claims126 services$19.39 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

23 suppliers322 claims1,728 services$2.58 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

18 suppliers138 claims138 services$12.74 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers111 claims113 services$19.33 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers49 claims49 services$44.44 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers18 claims18 services$775.29 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

5 suppliers51 claims51 services$95.99 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

3 suppliers48 claims48 services$257.15 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers27 claims27 services$177.77 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

9 suppliers141 claims146 services$15.03 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers15 claims15 services$4.91 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

10 suppliers288 claims288 services$45.47 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier11 claims11 services$47.36 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

10 suppliers201 claims204 services$105.92 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers46 claims46 services$34.53 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers12 claims660 services$6.64 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

9 suppliers36 claims11,896 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

7 suppliers28 claims3,090 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

8 suppliers37 claims2,400 services$0.75 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

17 suppliers65 claims65 services$23.61 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.

LAURA B. SOLVERUD CRNA

Nurse Anesthetist, Certified Registered

425 PINE RIDGE BLVD, STE 211
WAUSAU, WI 54401

Marathon County (715) 845-5505

ELLIOTT ADENT

Nurse Anesthetist, Certified Registered

425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401

Marathon County (715) 845-5505

JEFFREY A KURTZ MD

Plastic Surgery

425 PINE RIDGE BLVD, SUITE 205
WAUSAU, WI 54401

Marathon County (715) 847-0444

STEVE HENKENS CRNA

Nurse Anesthetist, Certified Registered

425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401

Marathon County (715) 845-5505

ASPIRUS MEDICAL GROUP, INC.

Clinic/Center

425 PINE RIDGE BLVD, SUITE 220A
WAUSAU, WI 54401

Marathon County (715) 847-2070

NAM D DOAN M.D.

Anesthesiology

425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401

Marathon County (715) 845-5505

JON M FRAZIER

Nurse Anesthetist, Certified Registered

425 PINE RIDGE BLVD, STE 211
WAUSAU, WI 54401

Marathon County (715) 845-5505

JAMES KAROW CRNA

Nurse Anesthetist, Certified Registered

425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401

Marathon County (715) 845-5505

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 James Cygan's NPI number?

The NPI number for James Cygan is 1235145210. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is James Cygan located?

James Cygan practices at 425 Pine Ridge Blvd Suite 200, Wausau, WI 54401. The listed phone number is (715) 847-2480.

What is James Cygan's specialty?

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

Is James Cygan enrolled in Medicare?

Yes. James Cygan 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 James Cygan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Cygan reassigns Medicare benefits to 5 organizations: Aspirus Wausau Hospital Inc (Wausau, WI), Aspirus Medical Group, Inc. (Wausau, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI), Aspirus Iron River Hospital & Clinics, Inc. (Iron River, MI) and Divine Savior Healthcare, Inc. (Portage, 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 James Cygan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Cygan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Group Health Cooperative-SCW and 2 other insurers list James Cygan 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 James Cygan affiliated with any hospitals?

According to CMS data, James Cygan is affiliated with Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Aspirus Riverview Hospital & Clinics Inc, Aspirus Medford Hospital & Clinics, Inc and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for James Cygan was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.