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DR. MICHAEL A JANITCH MD
NPI 1366438798
Surgery - Plastic and Reconstructive Surgery in Green Bay, WI

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1715 DOUSMAN ST, GREEN BAY, WI 54303(920) 496-4700(920) 405-1432 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael A Janitch Md NPPES

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

DR. MICHAEL A JANITCH MD (NPI 1366438798) is an individual plastic and reconstructive surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (42240020) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital Medical Center, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1366438798
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. MICHAEL A JANITCHCredential: MD
Location Address1715 DOUSMAN STGreen Bay, WI 54303-3211
Mailing Address2461 Holmgren WayGreen Bay, WI 54304-5224 · (920) 496-4700
Phone(920) 496-4700
Fax(920) 405-1432
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1993
Enumeration DateSeptember 21, 2005
Last NPPES UpdateMarch 26, 2019
✔ NPI 1366438798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in WI · 42240020
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1715 DOUSMAN ST, Green Bay, WI 54303
Open in Google Maps ↗

Secondary Practice Location 1

Location 11715 Dousman StGreen Bay, WI 54303-3211 · Phone (920) 496-4700 · Fax (920) 405-1432

Other Identifiers 1

Medicaid34084200WI

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

Dr. Michael A Janitch 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 ID6103887096
PECOS Enrollment IDI20041025000052
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

2

Medicare enrollment records show Michael Janitch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
3.9 mi
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
NPI 1285613638 (920) 433-8287
Prevea Clinic, Inc.
3.9 mi
Internal Medicine
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 190 clinicians in this Medicare group
NPI 1306869276 (920) 496-4700

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

MRS. JENNA MAE HANSON PA-C
Physician Assistant (Medical)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4770
EDGAR (TED) KING COLLISON IV MD
Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
DEB SWIM CST/CSFA
Specialist/Technologist, Other (Surgical Assistant)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
ROLF SMART LULLOFF MD
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
HANNAH SUE CRAANEN AGNP
Nurse Practitioner (Adult Health)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
DR. MATTHEW BRENDON COLLIGAN D.O.
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
HUMERA FATIMA AHMAD M.D.
Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
MELISSA LEA LYNCH APNP
Registered Nurse
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700

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 Michael Janitch's NPI number?

The NPI number for Michael Janitch is 1366438798. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Michael Janitch located?

Michael Janitch practices at 1715 Dousman St, Green Bay, WI 54303. The listed phone number is (920) 496-4700.

What is Michael Janitch's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Michael Janitch enrolled in Medicare?

Yes. Michael Janitch 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 Michael Janitch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Janitch reassigns Medicare benefits to 2 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and Prevea Clinic, Inc. (Green Bay, 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 Michael Janitch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Janitch accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Security Health Plan list Michael Janitch 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 Michael Janitch affiliated with any hospitals?

According to CMS data, Michael Janitch is affiliated with St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Janitch was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.