JAMES ACETO M.D.
NPI 1609858158
Radiology - Diagnostic Radiology in Mequon, WI

Q: What is James Aceto's NPI number?

The NPI number for James Aceto is 1609858158. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Q: What is James Aceto's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for James Aceto was last updated on February 18, 2020. 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.

Active since November 18, 2005PECOS Enrolled

10945 N PORT WASHINGTON RD STE 201, MEQUON, WI 53092(414) 434-0461 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James Aceto M.d. NPPES

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

JAMES ACETO M.D. (NPI 1609858158) is an individual diagnostic radiology provider in Mequon, Wisconsin, licensed in Wisconsin (34102) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609858158

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJAMES ACETOCredential: M.D.

Location Address10945 N PORT WASHINGTON RD STE 201Mequon, WI 53092-5078

Mailing Address10945 N Port Washington Rd Ste 201Mequon, WI 53092-5078

Phone(414) 434-0461

Sole ProprietorNo

Enumeration DateNovember 18, 2005

Last NPPES UpdateFebruary 18, 2020

✔ NPI 1609858158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in WI · 34102

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

10945 N PORT WASHINGTON RD STE 201, Mequon, WI 53092

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Aceto M.d. 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 James Aceto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wisconsin Health Fund

13 mi

Multi-Specialty

6200 W BLUEMOUND RD
Milwaukee, WI 53213

Reassigned Medicare billing, Wisconsin enrollment
60 clinicians in this Medicare group

NPI 1497768659 (414) 771-5600

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 53092 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

100%83 patients5/55-star benchmark: 100%

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

99%490 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TIMOTHY L WORKMAN M.D.

Radiology (Diagnostic Radiology)