DR. JONATHAN LEE EICHELSDOERFER MD
NPI 1518583236
Family Medicine in Green Bay, WI

Q: What is Jonathan Eichelsdoerfer's NPI number?

The NPI number for Jonathan Eichelsdoerfer is 1518583236. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Q: What is Jonathan Eichelsdoerfer's specialty?

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

Active since June 18, 2020PECOS EnrolledAccepts Medicare Assignment

1160 KEPLER DR, GREEN BAY, WI 54311(920) 288-5656 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 17, 2026, Dec 15, 2023, Aug 9, 2023 and 1 more (4 updates tracked since 2020).

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About Dr. Jonathan Lee Eichelsdoerfer Md NPPES

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

DR. JONATHAN LEE EICHELSDOERFER MD (NPI 1518583236) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (81936) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Aurora Baycare Medical Ctr, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1518583236

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JONATHAN LEE EICHELSDOERFERCredential: MD

Location Address1160 KEPLER DRGreen Bay, WI 54311-8321

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 288-5656

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 18, 2020

Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1518583236 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 · 81936✔ Licensed in MI · 4351046904

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.

1160 KEPLER DR, Green Bay, WI 54311

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Secondary Practice Location 1

Location 1650 Stewart RdMonroe, MI 48162-4222 · Phone (734) 240-8430

Other Identifiers 1

Medicaid100244153WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.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

Dr. Jonathan Lee Eichelsdoerfer Md 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 ID1658733696

PECOS Enrollment IDI20230808003119

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 3

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.

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.

25 services18 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.

21 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number520193

Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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.

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.

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