DR. JUSTIN CHUBA NGENE MD
NPI 1265637128
Hospitalist in Menomonee Falls, WI

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051(262) 251-1000 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Justin Chuba Ngene Md NPPES

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

DR. JUSTIN CHUBA NGENE MD (NPI 1265637128) is an individual hospitalist provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (54710-20) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265637128
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JUSTIN CHUBA NGENECredential: MD
Location AddressW180N8085 TOWN HALL RDMenomonee Falls, WI 53051-3558
Mailing AddressW180n8085 Town Hall RdMenomonee Falls, WI 53051-3558 · (262) 251-1000
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2007
Enumeration DateJune 19, 2007
Last NPPES UpdateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1265637128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 54710-20
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
W180N8085 TOWN HALL RD, Menomonee Falls, WI 53051

Secondary Practice Locations 2

Location 1N20W22961 Watertown RdWaukesha, WI 53186-1308 · Phone (262) 875-5070 · Fax (866) 384-9486
Location 228 Crescent StMiddletown, CT 06457-3654 · Phone (860) 358-4925

Accepted 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

Dr. Justin Chuba Ngene 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 ID749472637
PECOS Enrollment IDI20101011000686
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

4

Medicare enrollment records show Justin Ngene reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
Internal Medicine
N20W22961 WATERTOWN RD
Waukesha, WI 53186
  • Reassigned Medicare billing, Wisconsin enrollment
  • 191 clinicians in this Medicare group
Multi-Specialty
6900 N PORT WASHINGTON RD
Glendale, WI 53217
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
88 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Froedtert Community Hospital

Acute Care Hospitals · New Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520213
Location4805 S Moorland RdNew Berlin, WI 53151 · Waukesha County
Emergency services

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.

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.

Nurse Practitioner (Acute Care)
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Nurse Practitioner (Acute Care)
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Obstetrics & Gynecology
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Genetic Counselor, MS
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Dietitian, Registered
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Anesthesiologist Assistant
W180N8085 TOWN HALL RD, ANESTHESIOLOGY
MENOMONEE FALLS, WI 53051
Dietitian, Registered
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051

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 Justin Ngene's NPI number?

The NPI number for Justin Ngene is 1265637128. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Justin Ngene located?

Justin Ngene practices at W180n8085 Town Hall Rd, Menomonee Falls, WI 53051. The listed phone number is (262) 251-1000.

What is Justin Ngene's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Justin Ngene enrolled in Medicare?

Yes. Justin Ngene 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 Justin Ngene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Ngene reassigns Medicare benefits to 4 organizations: Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Oak Medical Sc (Waukesha, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Glendale, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Glendale, 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 Justin Ngene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Ngene accept?

Health plans from CareSource (Common Ground Healthcare) list Justin Ngene 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 Justin Ngene affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Justin Ngene was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.