NICOLAS MUNGO MD
NPI 1245627991
Internal Medicine - Endocrinology, Diabetes & Metabolism in Brookfield, WI

Q: What is Nicolas Mungo's NPI number?

The NPI number for Nicolas Mungo is 1245627991. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Q: What is Nicolas Mungo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Nicolas Mungo was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 21, 2015PECOS EnrolledAccepts Medicare Assignment

195 DISCOVERY DR, BROOKFIELD, WI 53045(262) 928-7100 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 1, 2023, May 13, 2021, Mar 29, 2021 and 6 more (9 updates tracked since 2020).

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About Nicolas Mungo Md NPPES

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

NICOLAS MUNGO MD (NPI 1245627991) is an individual endocrinology, diabetes & metabolism provider in Brookfield, Wisconsin, licensed in Wisconsin (75057) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245627991

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameNICOLAS MUNGOCredential: MD

Location Address195 DISCOVERY DRBrookfield, WI 53045-2862

Mailing Address195 Discovery DrBrookfield, WI 53045-2862 · (262) 928-7100

Phone(262) 928-7100

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 21, 2015

Last NPPES UpdateNovember 1, 20239 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1245627991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in WI · 75057

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

195 DISCOVERY DR, Brookfield, WI 53045

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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, Dean Health Plan, Network Health 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

Nicolas Mungo 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 ID9234480021

PECOS Enrollment IDI20210520002906

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 Nicolas Mungo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prohealth Medical Group Inc

2.0 mi

Family Medicine

20611 WATERTOWN RD, SUITE J
Waukesha, WI 53186

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

NPI 1720371719 (262) 928-5900

Carolinas Physicians Network Inc

611 mi

Endocrinology, Diabetes & Metabolism

2209 S STERLING ST, SUITE 530
Morganton, NC 28655

Reassigned Medicare billing, North Carolina enrollment
2,057 clinicians in this Medicare group

NPI 1962784363 (980) 212-7120

Carolinas Medical Center

654 mi

Psychiatry

16740 DAVIDSON CONCORD RD, STE 200
Davidson, NC 28036

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1629412184 (704) 801-9200

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 7

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

964 services13 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.

359 services269 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.

56 services56 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

44 services14 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

43 services20 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

29 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520062

Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53045 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 4

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

3 suppliers14 claims181 services$17.51 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

3 suppliers14 claims419 services$2.24 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers21 claims93 services$5.68 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

17 suppliers102 claims102 services$183.57 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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