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

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: August 02, 2026.

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

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
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

Other Identifiers 1

Medicaid32169900WI

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 (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.

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.

Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Psychiatry & Neurology (Neurology)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937

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 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.

Where is Ramon Pajarillo located?

Ramon Pajarillo practices at 210 Wisconsin American Dr, Fond Du Lac, WI 54937. The listed phone number is (920) 907-7000.

What is Ramon Pajarillo's specialty?

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

Is Ramon Pajarillo enrolled in Medicare?

Yes. Ramon Pajarillo is registered in the Medicare PECOS enrollment system.

What insurance does Ramon Pajarillo accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Ramon Pajarillo 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 Ramon Pajarillo affiliated with any hospitals?

According to CMS data, Ramon Pajarillo is affiliated with Aurora Medical Ctr Oshkosh.

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 20 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.