DR. JAIME QUEZADA MD
NPI 1356432660
Family Medicine in Lake Geneva, WI

Q: What is Jaime Quezada's NPI number?

The NPI number for Jaime Quezada is 1356432660. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Jaime Quezada's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaime Quezada was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 28, 2006PECOS Enrolled

350 PELLER RD, LAKE GENEVA, WI 53147(262) 249-0221(262) 249-0633 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Dec 31, 2020 (2 updates tracked since 2020).

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About Dr. Jaime Quezada Md NPPES

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

DR. JAIME QUEZADA MD (NPI 1356432660) is an individual family medicine provider in Lake Geneva, Wisconsin, licensed in Wisconsin (47086-20) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356432660

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAIME QUEZADACredential: MD

Location Address350 PELLER RDLake Geneva, WI 53147-4543

Mailing Address350 Peller RdLake Geneva, WI 53147-4543 · (262) 249-0221 · Fax (262) 249-0633

Phone(262) 249-0221

Fax(262) 249-0633

Sole ProprietorNo

Enumeration DateSeptember 28, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 31, 2020

✔ NPI 1356432660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 47086-20✔ Licensed in WI · 36520

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

350 PELLER RD, Lake Geneva, WI 53147

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Other Identifiers 1

Medicaid34581200WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaime Quezada Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jaime Quezada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agnesian Healthcare

63 mi

Mental Health (Including Community Mental Health Center)

200 FRONT ST, SUITE 3D
Beaver Dam, WI 53916

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

NPI 1700817657 (920) 885-2780

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 53147 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 10

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

FARAH SHAUKAT MD

Family Medicine