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JONATHON M. PULLARA
NPI 1851885511
Dentist - General Practice in Dodgeville, WI

Active since June 17, 2018PECOS Enrolled
103 E FOUNTAIN ST, DODGEVILLE, WI 53533(608) 935-5550(608) 935-5168 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2021, Apr 2, 2019, Jun 17, 2018 (3 updates tracked since 2018).

About Jonathon M. Pullara NPPES

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

JONATHON M. PULLARA (NPI 1851885511) is an individual general practice provider in Dodgeville, Wisconsin, licensed in Illinois (019.031652) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851885511
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJONATHON M. PULLARA
Location Address103 E FOUNTAIN STDodgeville, WI 53533-1749
Mailing Address2901 W Beltline Hwy Ste 120Madison, WI 53713-4231 · (608) 443-5500 · Fax (608) 441-2385
Phone(608) 935-5550
Fax(608) 935-5168
Sole ProprietorYes
Enumeration DateJune 17, 2018
Last NPPES UpdateMay 4, 20213 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1851885511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.031652
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
103 E FOUNTAIN ST, Dodgeville, WI 53533
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathon M. Pullara 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53533 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.

Other Providers at the Same Location NPPES 4

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

DR. PATRICK J TEPE D.D.S.
Dentist
103 E FOUNTAIN ST
DODGEVILLE, WI 53533
Iowa County (608) 935-5550
DR. JEFFREY SCOTT WILTON D.D.S.
Dentist
103 E FOUNTAIN ST
DODGEVILLE, WI 53533
Iowa County (608) 935-5550
BRENDA M LEE RDH
Dental Hygienist
103 E FOUNTAIN ST
DODGEVILLE, WI 53533
Iowa County (608) 935-5550
ELYSE W KASTNER RDH
Dental Hygienist
103 E FOUNTAIN ST
DODGEVILLE, WI 53533
Iowa County (608) 935-5550

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 Jonathon Pullara's NPI number?

The NPI number for Jonathon Pullara is 1851885511. It was assigned to this individual provider in the NPPES registry on June 17, 2018.

Where is Jonathon Pullara located?

Jonathon Pullara practices at 103 E Fountain St, Dodgeville, WI 53533. The listed phone number is (608) 935-5550.

What is Jonathon Pullara's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jonathon Pullara enrolled in Medicare?

Yes. Jonathon Pullara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathon Pullara was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.