JERRY LEE HALVERSON MD
NPI 1952360422
Psychiatry & Neurology - Psychiatry in Oconomowoc, WI

Q: What is Jerry Halverson's NPI number?

The NPI number for Jerry Halverson is 1952360422. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Q: What is Jerry Halverson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Halverson 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.

Active since March 22, 2006PECOS Enrolled

34700 VALLEY RD, OCONOMOWOC, WI 53066(262) 646-4411(262) 646-1076 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jerry Lee Halverson Md NPPES

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

JERRY LEE HALVERSON MD (NPI 1952360422) is an individual psychiatry provider in Oconomowoc, Wisconsin, licensed in Wisconsin (43851) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1999).

NPPES Registry Identity

NPI1952360422

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJERRY LEE HALVERSONCredential: MD

Location Address34700 VALLEY RDOconomowoc, WI 53066-4500

Mailing Address34700 Valley RdOconomowoc, WI 53066-4500 · (262) 646-4411 · Fax (262) 646-1076

Phone(262) 646-4411

Fax(262) 646-1076

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1999

Enumeration DateMarch 22, 2006

Last NPPES UpdateMay 4, 2021

NPPES CertifiedMay 4, 2021

✔ NPI 1952360422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in WI · 43851

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 43851 (WI)

Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X · License 43851 (WI)

34700 VALLEY RD, Oconomowoc, WI 53066

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Lee Halverson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840265484

PECOS Enrollment IDI20040827000820

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 Reassignment

Medicare enrollment records show Jerry Halverson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rogers Memorial Hospital Incorporated

Same address

Psychiatric Hospital

34700 VALLEY RD
Oconomowoc, WI 53066

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

NPI 1053329581 (800) 767-4411

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 53066 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

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 20

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

JODI TOMPITCH APNP

Clinical Nurse Specialist (Psychiatric/Mental Health)