JAVIER A RINCON MD
NPI 1639139744
Family Medicine in West Allis, WI

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
801 S 70TH ST, WEST ALLIS, WI 53214(414) 773-6600(414) 773-6656 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Javier A Rincon Md NPPES

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

JAVIER A RINCON MD (NPI 1639139744) is an individual family medicine provider in West Allis, Wisconsin, licensed in Wisconsin (29828) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Divine Savior Healthcare, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1639139744
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAVIER A RINCONCredential: MD
Location Address801 S 70TH STWest Allis, WI 53214-3147
Mailing AddressPo Box 1440, Attn: Clinic CredentialingWautoma, WI 54982-1440 · (920) 787-5514 · Fax (920) 787-4737
Fax(414) 773-6656
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateMarch 23, 2006
Last NPPES UpdateSeptember 28, 2016
NPI 1639139744 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 · 29828
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.

801 S 70TH ST, West Allis, WI 53214

Other Identifiers 2

Medicare UPINF07704WI
Medicaid31471200WI

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 and accepts Medicare assignment

Javier A Rincon 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 ID1850280777
PECOS Enrollment IDI20040310001427
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 3

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
45 services22 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.
41 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Divine Savior Healthcare

Acute Care Hospitals · Portage, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520041
Location2817 New Pinery RoadPortage, WI 53901 · Columbia County
Emergency services

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521355
Location225 Memorial DriveBerlin, WI 54923 · Green Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53214 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
6 suppliers11 claims30 services$4.95 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 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 supplier12 claims12 services$112.76 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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
801 S 70TH ST
WEST ALLIS, WI 53214
Physical Therapist
801 S 70TH ST
WEST ALLIS, WI 53214
Family Medicine
801 S 70TH ST
WEST ALLIS, WI 53214
Family Medicine
801 S 70TH ST
WEST ALLIS, WI 53214
Physician Assistant
801 S 70TH ST
WEST ALLIS, WI 53214
Pediatrics
801 S 70TH ST
WEST ALLIS, WI 53214
Social Worker (Clinical)
801 S 70TH ST
WEST ALLIS, WI 53214
Family Medicine
801 S 70TH ST
WEST ALLIS, WI 53214

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 Javier Rincon's NPI number?

The NPI number for Javier Rincon is 1639139744. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Javier Rincon located?

Javier Rincon practices at 801 S 70th St, West Allis, WI 53214. The listed phone number is (414) 773-6600.

What is Javier Rincon's specialty?

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

Is Javier Rincon enrolled in Medicare?

Yes. Javier Rincon 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 Javier Rincon accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 3 other insurers list Javier Rincon 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 Javier Rincon affiliated with any hospitals?

According to CMS data, Javier Rincon is affiliated with Divine Savior Healthcare and Berlin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Javier Rincon was last updated on September 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.