DR. JONATHAN TYLER LAACK D.O.
NPI 1487090072
Emergency Medicine in Weston, WI

Q: What is Jonathan Laack's NPI number?

The NPI number for Jonathan Laack is 1487090072. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Q: What is Jonathan Laack's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Laack was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2013PECOS Enrolled

100/100

CMS Quality Rating

3400 MINISTRY PKWY, WESTON, WI 54476(715) 393-3000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Oct 23, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Jonathan Tyler Laack D.o. NPPES

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

DR. JONATHAN TYLER LAACK D.O. (NPI 1487090072) is an individual emergency medicine provider in Weston, Wisconsin, licensed in Wisconsin (67074) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Joseph.

NPPES Registry Identity

NPI1487090072

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JONATHAN TYLER LAACKCredential: D.O.

Location Address3400 MINISTRY PKWYWeston, WI 54476-5220

Mailing Address3400 Ministry PkwyWeston, WI 54476-5220 · (715) 393-3000

Phone(715) 393-3000

Sole ProprietorNo

Enumeration DateMay 22, 2013

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedOctober 23, 2020

✔ NPI 1487090072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WI · 67074✔ Licensed in MI · 5101020493

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3400 MINISTRY PKWY, Weston, WI 54476

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Secondary Practice Location 1

Location 11234 Napier AveSaint Joseph, MI 49085-2112 · Phone (269) 982-4941

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Tyler Laack D.o. 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.

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

128 services118 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

115 services106 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

55 services51 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54476 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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.25

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

DR. KSHAMATA SHALINI MD

Internal Medicine