JANET TAN CHUA MD
NPI 1922032002
Family Medicine in Pleasant Prairie, WI

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
9555 76TH STREET, PLEASANT PRAIRIE, WI 53158(262) 577-8300(262) 577-8414 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Janet Tan Chua Md NPPES

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

JANET TAN CHUA MD (NPI 1922032002) is an individual family medicine provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (37322) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (1988).

NPPES Registry Identity

NPI1922032002
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJANET TAN CHUACredential: MD
Location Address9555 76TH STREETPleasant Prairie, WI 53158
Mailing Address9555 76th StreetPleasant Prairie, WI 53158
Fax(262) 577-8414
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 11, 2006
Last NPPES UpdateDecember 3, 2018
NPI 1922032002 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 · 37322
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.

9555 76TH STREET, Pleasant Prairie, WI 53158

Other Identifiers 2

Medicaid32300600WI
Other080171615Medicare Rr

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

Janet Tan Chua 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 ID3173716024
PECOS Enrollment IDI20101022001276
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 9

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.
404 services192 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.
160 services106 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.
76 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
32 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services22 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Referred Medical Equipment & Supplies CMS DME claims 5

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
16 suppliers62 claims128 services$5.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers37 claims42 services$1.00 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
2 suppliers42 claims42 services$13.15 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
2 suppliers42 claims42 services$61.79 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
1 supplier12 claims12 services$185.34 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 6

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

Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Obstetrics & Gynecology
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Radiology (Diagnostic Radiology)
9555 76TH STREET, UHS ST CATHERINES CAMPUS
PLEASANT PRAIRIE, WI 53158
Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Internal Medicine (Nephrology)
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158

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 Janet Chua's NPI number?

The NPI number for Janet Chua is 1922032002. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Janet Chua located?

Janet Chua practices at 9555 76th Street, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8300.

What is Janet Chua's specialty?

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

Is Janet Chua enrolled in Medicare?

Yes. Janet Chua 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 Janet Chua accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Network Health list Janet Chua 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 Janet Chua affiliated with any hospitals?

According to CMS data, Janet Chua is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Janet Chua was last updated on December 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.