DR. JASON C TOMPKINS MD
NPI 1336177864
Internal Medicine - Infectious Disease in Niles, MI

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
82.36/100
CMS Quality Rating
31 N SAINT JOSEPH AVE, NILES, MI 49120(269) 687-5510(269) 684-0189 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Apr 26, 2022, Apr 2, 2021 (3 updates tracked since 2021).

About Dr. Jason C Tompkins Md NPPES

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

DR. JASON C TOMPKINS MD (NPI 1336177864) is an individual infectious disease provider in Niles, Michigan, licensed in Wisconsin (64047) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Northwestern University Feinberg Medical School (1999).

NPPES Registry Identity

NPI1336177864
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JASON C TOMPKINSCredential: MD
Location Address31 N SAINT JOSEPH AVENiles, MI 49120-2207
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Fax(269) 684-0189
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1999
Enumeration DateJune 30, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1336177864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in WI · 64047 Licensed in MI · 4301083277
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

31 N SAINT JOSEPH AVE, Niles, MI 49120

Other Identifiers 5

Other27-0381199MI · Group Tax Id
OtherP00874046MI · Rr Medciare
Other0801109021MI · Bcbs Pin
Other1538397120MI · Group Npi
Medicaid4616440MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason C Tompkins 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 ID547231375
PECOS Enrollment IDI20150828000073
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
425 services143 patients
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.
315 services130 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.
137 services122 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.
19 services16 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.
15 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 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 49120 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

82.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.38
Promoting Interoperability100
Improvement Activities40
Cost50.29

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.

Anesthesiology
31 N SAINT JOSEPH AVE, ANESTHESIA DEPARTMENT
NILES, MI 49120
Anesthesiology
31 N SAINT JOSEPH AVE
NILES, MI 49120
Dietitian, Registered (Nutrition, Metabolic)
31 N SAINT JOSEPH AVE
NILES, MI 49120
Anesthesiology
31 N SAINT JOSEPH AVE
NILES, MI 49120
Physical Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120
Pharmacy (Institutional Pharmacy)
31 N SAINT JOSEPH AVE
NILES, MI 49120
Anesthesiology
31 N SAINT JOSEPH AVE
NILES, MI 49120
Physical Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336177864, enumerated as an "individual" on June 30, 2006.

The provider is located at 31 N SAINT JOSEPH AVE NILES, MI 49120 and the phone number is (269) 687-5510.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.

The provider might be accepting Accepts: Medica, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Jason Tompkins is affiliated with: WAUKESHA MEMORIAL HOSPITAL and OCONOMOWOC MEMORIAL HOSPITAL.