DR. MICHAELA HYUNJOO TONG M.D.
NPI 1528044401
Family Medicine in Hayward, WI

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
15954 RIVERS EDGE DR, HAYWARD, WI 54843(715) 634-2541 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Apr 2, 2021 (2 updates tracked since 2021).

About Dr. Michaela Hyunjoo Tong M.d. NPPES

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

DR. MICHAELA HYUNJOO TONG M.D. (NPI 1528044401) is an individual family medicine provider in Hayward, Wisconsin, licensed in Wisconsin (64505-20) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Tamarack Health Hayward Medical Center, and is a graduate of Creighton University School Of Medicine (1998).

NPPES Registry Identity

NPI1528044401
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAELA HYUNJOO TONGCredential: M.D.
Location Address15954 RIVERS EDGE DRHayward, WI 54843-7800
Mailing Address15954 Rivers Edge Dr Ste 101Hayward, WI 54843-7887 · (715) 634-2541 · Fax (715) 634-5740
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1998
Enumeration DateDecember 21, 2005
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1528044401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 64505-20
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.
15954 RIVERS EDGE DR, Hayward, WI 54843

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

Dr. Michaela Hyunjoo Tong 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 ID2163423476
PECOS Enrollment IDI20150831002188
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
48 services30 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.
15 services11 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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.

83.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.54
Promoting Interoperability100
Improvement Activities40
Cost58.37

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$16.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$8.46 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
2 suppliers30 claims30 services$86.04 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.

Dental Hygienist
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Physician Assistant
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Physician Assistant (Medical)
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Nurse Practitioner
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Counselor (Professional)
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Speech-Language Pathologist
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Counselor (Addiction (Substance Use Disorder))
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Physical Therapist
15954 RIVERS EDGE DR
HAYWARD, WI 54843

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 Michaela Tong's NPI number?

The NPI number for Michaela Tong is 1528044401. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Michaela Tong located?

Michaela Tong practices at 15954 Rivers Edge Dr, Hayward, WI 54843. The listed phone number is (715) 634-2541.

What is Michaela Tong's specialty?

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

Is Michaela Tong enrolled in Medicare?

Yes. Michaela Tong 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 Michaela Tong accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Security Health Plan list Michaela Tong 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 Michaela Tong affiliated with any hospitals?

According to CMS data, Michaela Tong is affiliated with Tamarack Health Hayward Medical Center.

When was this NPI record last updated?

The NPPES record for Michaela Tong was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.