JAY BERNARD PLUDEMAN M.D.
NPI 1508070244
Family Medicine in Milwaukee, WI
About Jay Bernard Pludeman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAY BERNARD PLUDEMAN M.D. (NPI 1508070244) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (25246) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Jay Bernard Pludeman 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.
Medicare Billing Reassignment
Medicare enrollment records show Jay Pludeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53204
- Reassigned Medicare billing, Wisconsin enrollment
- 147 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
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 Jay Pludeman's NPI number?
The NPI number for Jay Pludeman is 1508070244. It was assigned to this individual provider in the NPPES registry on May 10, 2007.
Where is Jay Pludeman located?
Jay Pludeman practices at 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204. The listed phone number is (414) 672-1353.
What is Jay Pludeman's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jay Pludeman enrolled in Medicare?
Yes. Jay Pludeman 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 organization bills Medicare for Jay Pludeman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jay Pludeman reassigns Medicare benefits to 16th Street Community Health Center Inc. (Milwaukee, WI). The 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 Jay Pludeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jay Pludeman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Network Health and 1 other insurer list Jay Pludeman 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.
When was this NPI record last updated?
The NPPES record for Jay Pludeman was last updated on June 26, 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.