JOHN J. BYRNE M.D.
NPI 1386678720
Hospitalist in Racine, WI

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3801 SPRING ST, RACINE, WI 53405(262) 687-5068 Get Directions Write a Review

NPPES record last updated: June 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John J. Byrne M.d. NPPES

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

JOHN J. BYRNE M.D. (NPI 1386678720) is an individual hospitalist provider in Racine, Wisconsin, licensed in Wisconsin (29042) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Medical College Of Wisconsin (1979).

NPPES Registry Identity

NPI1386678720
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOHN J. BYRNECredential: M.D.
Location Address3801 SPRING STRacine, WI 53405-1667
Mailing Address3801 Spring StRacine, WI 53405-1667 · (262) 687-5068
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1979
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 5, 2017
NPI 1386678720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 29042
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 29042 (WI)
3801 SPRING ST, Racine, WI 53405

Other Identifiers 1

Medicare UPINB51903

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

John J. Byrne M.d. 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 ID6608979315
PECOS Enrollment IDI20070319000403
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 5

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.

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.
183 services71 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services33 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.
18 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 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.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$774.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$85.26 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$28.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dietitian, Registered
3801 SPRING ST
RACINE, WI 53405
Anesthesiology
3801 SPRING ST
RACINE, WI 53405
Nurse Anesthetist, Certified Registered
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Pharmacist
3801 SPRING ST
RACINE, WI 53405
Physician Assistant
3801 SPRING ST
RACINE, WI 53405
Physician Assistant
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Internal Medicine (Critical Care Medicine)
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Physician Assistant
3801 SPRING ST
MOUNT PLEASANT, WI 53405

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 John Byrne's NPI number?

The NPI number for John Byrne is 1386678720. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is John Byrne located?

John Byrne practices at 3801 Spring St, Racine, WI 53405. The listed phone number is (262) 687-5068.

What is John Byrne's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is John Byrne enrolled in Medicare?

Yes. John Byrne 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 John Byrne accept?

Health plans from Anthem Blue Cross and Blue Shield list John Byrne 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 John Byrne affiliated with any hospitals?

According to CMS data, John Byrne is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for John Byrne was last updated on June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.