JAMES THOMAS JERZAK MD
NPI 1760466502
Family Medicine in Green Bay, WI

Q: What is James Jerzak's NPI number?

The NPI number for James Jerzak is 1760466502. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Q: What is James Jerzak'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 James Jerzak was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 December 05, 2005PECOS Enrolled

1630 COMMANCHE AVE, GREEN BAY, WI 54313(920) 430-4700 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About James Thomas Jerzak Md NPPES

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

JAMES THOMAS JERZAK MD (NPI 1760466502) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (25960) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760466502

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES THOMAS JERZAKCredential: MD

Location Address1630 COMMANCHE AVEGreen Bay, WI 54313-5753

Mailing Address1630 Commanche AveGreen Bay, WI 54313-5753 · (920) 430-4700

Phone(920) 430-4700

Sole ProprietorNo

Enumeration DateDecember 5, 2005

Last NPPES UpdateMay 18, 2012

✔ NPI 1760466502 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 · 25960

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.

1630 COMMANCHE AVE, Green Bay, WI 54313

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Other Identifiers 3

Other25960WV · License

Medicare UPINB53864WI

Medicare OSCAR/certification000107510WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Thomas Jerzak Md 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 Reassignments

Medicare enrollment records show James Jerzak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc

Same address

Family Medicine

1630 COMMANCHE AVE STE 102
Green Bay, WI 54313

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

NPI 1912420779 (920) 430-4700

Oconto Hospital & Medical Center, Inc.

27 mi

Rural Health

107 E HIGHLAND DR
Oconto Falls, WI 54154

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

NPI 1063038313 (920) 846-3092

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 54313 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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

1 supplier11 claims11 services$7.13 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier13 claims115 services$5.99 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers15 claims38 services$2.41 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers20 claims20 services$197.92 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.

BETHANY J PIOTROWSKI

Physician Assistant