MARY AUGUSTIAN MD
NPI 1295259513
Pediatrics in Janesville, WI

Q: What is Mary Augustian's NPI number?

The NPI number for Mary Augustian is 1295259513. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Q: What is Mary Augustian's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Augustian was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 28, 2017PECOS Enrolled

3524 E MILWAUKEE ST, JANESVILLE, WI 53546(608) 756-7100(608) 756-4700 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jun 18, 2020, Jul 28, 2017 (3 updates tracked since 2017).

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About Mary Augustian Md NPPES

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

MARY AUGUSTIAN MD (NPI 1295259513) is an individual pediatrics provider in Janesville, Wisconsin, licensed in Wisconsin (72472-20) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1295259513

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY AUGUSTIANCredential: MD

Location Address3524 E MILWAUKEE STJanesville, WI 53546-1626

Mailing Address3524 E Milwaukee StJanesville, WI 53546-1626 · (608) 756-7100 · Fax (608) 756-4700

Phone(608) 756-7100

Fax(608) 756-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 28, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedJune 18, 2020

✔ NPI 1295259513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 72472-20

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3524 E MILWAUKEE ST, Janesville, WI 53546

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Secondary Practice Location 1

Location 1One Brookdale PlazaBrooklyn, NY 11212 · Phone (718) 240-5893

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare 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 (PECOS)

Mary Augustian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284057597

PECOS Enrollment IDI20251016002948

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 Mary Augustian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health System Corporation

3.0 mi

Mental Health (Including Community Mental Health Center)

903 MINERAL POINT AVE
Janesville, WI 53548

Reassigned Medicare billing, Wisconsin and Illinois enrollments
Also billed through NPI 1598718603 (Illinois)
1,155 clinicians in this Medicare group

NPI 1669685129 (608) 756-5555

Rockford Health Physicians

26 mi

Multi-Specialty

8201 E RIVERSIDE BLVD
Rockford, IL 61114

Reassigned Medicare billing, Illinois enrollment
1,375 clinicians in this Medicare group

NPI 1043242886 (608) 314-2428

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

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.

REBECCA JEAN WEISSBURG PHYSICIAN ASSISTANT

Physician Assistant