JASON S SO DO
NPI 1508078643
Family Medicine in Lake Geneva, WI

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
350 PELLER RD, LAKE GENEVA, WI 53147(262) 245-0221(262) 249-0633 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason S So Do NPPES

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

JASON S SO DO (NPI 1508078643) is an individual family medicine provider in Lake Geneva, Wisconsin, licensed in Wisconsin (63015-21) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1508078643
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJASON S SOCredential: DO
Location Address350 PELLER RDLake Geneva, WI 53147-4543
Mailing Address350 Peller RdLake Geneva, WI 53147-4543 · (262) 245-0221 · Fax (262) 249-0633
Fax(262) 249-0633
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 29, 2019
NPI 1508078643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 63015-21 Licensed in IL · 036119919
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
350 PELLER RD, Lake Geneva, WI 53147

Other Identifiers 3

Other1508078643WI · Bcbswi
OtherSOJASWI · Mercycare Insurance
Medicaid1508078643WI

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

Jason S So Do 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 ID345329405
PECOS Enrollment IDI20141011000178
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 14

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
843 services161 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
320 services117 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
272 services106 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
228 services112 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
222 services118 patients
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.
191 services115 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53147 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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers40 claims127 services$6.70 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier20 claims20 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers22 claims40 services$1.21 avg. paid by Medicare
Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$33.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers37 claims39 services$16.39 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers36 claims36 services$3.60 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Durable Medical Equipment & Medical Supplies
350 PELLER RD
LAKE GENEVA, WI 53147
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Student in an Organized Health Care Education/Training Program
350 PELLER RD
LAKE GENEVA, WI 53147
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147

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 Jason So's NPI number?

The NPI number for Jason So is 1508078643. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Jason So located?

Jason So practices at 350 Peller Rd, Lake Geneva, WI 53147. The listed phone number is (262) 245-0221.

What is Jason So's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jason So enrolled in Medicare?

Yes. Jason So 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 Jason So accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and MercyCare Health Plans list Jason So 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 Jason So affiliated with any hospitals?

According to CMS data, Jason So is affiliated with Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Jason So was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.