RAMON PAJARILLO MD
NPI 1609985548
Family Medicine in Fond Du Lac, WI

Q: What is Ramon Pajarillo's NPI number?

The NPI number for Ramon Pajarillo is 1609985548. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Ramon Pajarillo'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 Ramon Pajarillo was last updated on November 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 30, 2006PECOS Enrolled

210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937(920) 907-7000 Get Directions Write a Review

NPPES record last updated: November 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2024, Nov 29, 2021 (2 updates tracked since 2021).

On this page

About Ramon Pajarillo Md NPPES

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

RAMON PAJARILLO MD (NPI 1609985548) is an individual family medicine provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (35319) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1609985548

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRAMON PAJARILLOCredential: MD

Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54937-2999

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

Phone(920) 907-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateAugust 30, 2006

Last NPPES UpdateNovember 17, 20242 updates tracked since enumeration

NPPES CertifiedNovember 17, 2024

✔ NPI 1609985548 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 · 35319

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.

210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937

Open in Google Maps ↗

Other Identifiers 1

Medicaid32169900WI

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ramon Pajarillo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436130200

PECOS Enrollment IDI20040527000226

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 Reassignments

Medicare enrollment records show Ramon Pajarillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.

33 mi

Clinic/Center

2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1174670244 (920) 457-4461

University Of Wisconsin Medical Foundation, Inc

74 mi

Multi-Specialty

7974 UW HEALTH COURT
Middleton, WI 53562

Reassigned Medicare billing, Wisconsin enrollment
2,832 clinicians in this Medicare group

NPI 1598784555 (608) 829-5485

Aamg Reach PLLC

148 mi

Family Medicine

1357 W 103RD ST
Chicago, IL 60643

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

NPI 1609502707 (773) 238-0800

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

Areas of Expertise CMS Part B claims 6

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.

209 services115 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

87 services87 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

25 services24 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.

24 services21 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

22 services21 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54937 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers27 claims99 services$5.89 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

1 supplier11 claims11 services$91.00 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$33.22 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.

JEANETTE ROEHL APNP FNP

Nurse Practitioner