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DR. JOHN P MOONEY MD
NPI 1548208259
Family Medicine in Milwaukee, WI

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
1575 N RIVERCENTER DR, MILWAUKEE, WI 53212(414) 283-8444 Get Directions Write a Review

NPPES record last updated: December 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2023, Mar 7, 2023, Jan 28, 2022 (3 updates tracked since 2022).

About Dr. John P Mooney Md NPPES

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

DR. JOHN P MOONEY MD (NPI 1548208259) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (39115) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1996).

NPPES Registry Identity

NPI1548208259
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN P MOONEYCredential: MD
Location Address1575 N RIVERCENTER DRMilwaukee, WI 53212-3978
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 283-8444
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1996
Enumeration DateJune 3, 2006
Last NPPES UpdateDecember 10, 20233 updates tracked since enumeration
NPPES CertifiedDecember 10, 2023
✔ NPI 1548208259 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 · 39115
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.
1575 N RIVERCENTER DR, Milwaukee, WI 53212
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Other Identifiers 1

Medicaid32477000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.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. John P Mooney 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 ID4688647928
PECOS Enrollment IDI20040816000875
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.

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.
37 services36 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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.

MR. MICHAEL HOLYOKE
Student in an Organized Health Care Education/Training Program
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212
Milwaukee County (414) 507-2047
ESTHER M. MOTLHATLHEDI M.D.
Family Medicine
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212
Milwaukee County (414) 283-8444
MICHELLE M HOFMEISTER
Family Medicine
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212
Milwaukee County (414) 283-8444
SARAH C FLYNN PHARMD
Pharmacist
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212
Milwaukee County (414) 224-1555
KYLIE LOCHNER PA
Physician Assistant
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212
Milwaukee County (414) 276-4242
DR. JOSEPH H MEHRING D.C.
Chiropractor
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212
Milwaukee County (414) 283-8444
MS. TARA R. CHRISTENSEN-TOURTILLOTT PA-C
Physician Assistant
1575 N RIVERCENTER DR, SUITE 160
MILWAUKEE, WI 53212
Milwaukee County (414) 274-7220
TIMUR GUSOV MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212
Milwaukee County (414) 283-8444

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 John Mooney's NPI number?

The NPI number for John Mooney is 1548208259. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is John Mooney located?

John Mooney practices at 1575 N Rivercenter Dr, Milwaukee, WI 53212. The listed phone number is (414) 283-8444.

What is John Mooney's specialty?

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

Is John Mooney enrolled in Medicare?

Yes. John Mooney 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 John Mooney accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list John Mooney 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 John Mooney was last updated on December 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.