MICHAEL A JONES DO
NPI 1568533966
Family Medicine in Waupun, WI

Q: What is Michael Jones's NPI number?

The NPI number for Michael Jones is 1568533966. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Q: What is Michael Jones's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Jones was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 10, 2006PECOS Enrolled

608 W BROWN ST, WAUPUN, WI 53963(920) 324-6801(920) 324-6878 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2016, Feb 16, 2016 (2 updates tracked since 2016).

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About Michael A Jones Do NPPES

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

MICHAEL A JONES DO (NPI 1568533966) is an individual family medicine provider in Waupun, Wisconsin, licensed in Wisconsin (53443) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568533966

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL A JONESCredential: DO

Location Address608 W BROWN STWaupun, WI 53963-1702

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340 · Fax (920) 926-8370

Phone(920) 324-6801

Fax(920) 324-6878

Sole ProprietorNo

Enumeration DateNovember 10, 2006

Last NPPES UpdateMarch 3, 20162 updates tracked since enumeration

✔ NPI 1568533966 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 · 53443

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.

608 W BROWN ST, Waupun, WI 53963

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Other Identifiers 3

OtherP01185334WI · Railroad Medicare

Medicaid100006863WI

Medicare PIN161300144WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael A Jones Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaver Dam Community Hospitals Inc

0.7 mi

Family Medicine

180 GATEWAY DR
Waupun, WI 53963

Reassigned Medicare billing, Wisconsin enrollment
1,447 clinicians in this Medicare group

NPI 1629374780 (920) 345-1306

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53963 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.

KAREN E REYNOLDS MD

Surgery