DR. JON DIRK VAN ROO (M.D.) – Emergency Medicine Physician, NPI 1033384565
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JON DIRK VAN ROO (M.D.)
430 E Division St
Fond Du Lac, WI 549354560
Phone: (920) 926-4600
Type: Location
Saint Mary's Hospital, 700, South Park Street, Greenbush, Madison, Dane County, Wisconsin, 53715, United States
SUITE A404
MADISON, WI 537151830
Phone: (608) 258-6504
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100616000168 | I | Emergency Medicine | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 240 | 236 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 196 | 183 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 100 | 99 | $0 |
| 99291 | Critical care, first 30-74 minutes | 65 | 65 | $0 |
Insurance plans in this area (ZIP 54935)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | WI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 460 | 398 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| - | IL | |
| - | WI | |
| - | WI | |
| - | VA | |
| - | MI | |
| Physician Assistant | WI | |
| - | WI | |
| - | WI |
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