ZACKERY J TEGGE MCMS, PA-C
NPI 1366974123
Physician Assistant in Christiansted, VI

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
4007 ESTATE DIAMOND RUBY, CHRISTIANSTED, VI 00820(340) 778-6311 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2022, Dec 16, 2019, Sep 7, 2018 and 1 more (4 updates tracked since 2017).

About Zackery J Tegge Mcms, Pa-c NPPES

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

ZACKERY J TEGGE MCMS, PA-C (NPI 1366974123) is an individual physician assistant in Christiansted, Virgin Islands, licensed in Wisconsin (4320) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366974123
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameZACKERY J TEGGECredential: MCMS, PA-C
Location Address4007 ESTATE DIAMOND RUBYChristiansted, VI 00820
Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2017
Last NPPES UpdateApril 7, 20224 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
NPI 1366974123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 4320
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations 3

Location 14007 Estate Diamond RubyChristiansted, VI 00820-4435 · Phone (340) 778-6311
Location 22845 Greenbrier RdGreen Bay, WI 54311-6519 · Phone (920) 288-4060
Location 35000 Memorial DrTwo Rivers, WI 54241-3900 · Phone (920) 794-5125

Other Identifiers 1

Medicaid100077680WI

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

Zackery J Tegge Mcms, Pa-c 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 ID8628324506
PECOS Enrollment IDI20221205001453
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

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.

Removal of blood clot and portion of chest, neck, or brain artery 35301
This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00820 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
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.

Internal Medicine
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Physician Assistant
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Pathology (Anatomic Pathology & Clinical Pathology)
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Clinical Nurse Specialist (Emergency)
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Registered Nurse
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Pathology (Forensic Pathology)
4007 ESTATE DIAMOND RUBY, GOV. JUAN F. LUIS HOSPITAL
CHRISTIANSTED, VI 00820
Physician Assistant
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820
Advanced Practice Midwife
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 00820

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 Zackery Tegge's NPI number?

The NPI number for Zackery Tegge is 1366974123. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Zackery Tegge located?

Zackery Tegge practices at 4007 Estate Diamond Ruby, Christiansted, VI 00820. The listed phone number is (340) 778-6311.

What is Zackery Tegge's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Zackery Tegge enrolled in Medicare?

Yes. Zackery Tegge 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.

What insurance does Zackery Tegge accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Zackery Tegge 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 Zackery Tegge affiliated with any hospitals?

According to CMS data, Zackery Tegge is affiliated with Uphs Marquette Dlp Hospital.

When was this NPI record last updated?

The NPPES record for Zackery Tegge was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.