ROYLE G JR. EENIGENBURG (MD) – Psychiatry Physician, NPI 1104858836

ROYLE G JR. EENIGENBURG (MD) is a healthcare provider. based in Juneau, Wisconsin. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 34504 (WI). The NPI Number for ROYLE G JR. EENIGENBURG (MD) is 1104858836

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
ROYLE G JR. EENIGENBURG (MD)
NPI
1104858836
Phone
(920) 386-4094
Address
199 COUNTY ROAD DF
Enumeration Date
6 July 2006
Last Update Date
8 February 2017

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
6082389354
Graduation Year
1992 (34 years ago)
PAC ID
4981673092
Group Practice PAC ID
4789656083
Professional Enrollment ID
I20040927000349
Address ID
WI537052255MA2727XCTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

678 PSYCHIATRY in WI

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Provider Addresses for ROYLE G JR. EENIGENBURG (MD)

  • 199, County Road DF, Juneau, Town of Oak Grove, Dodge County, Wisconsin, 53039, United States

    FL 3

    JUNEAU, WI 530399512

    Phone: (920) 386-4094

    Fax: (920) 386-3812

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 360 Open Payments records for all available years, with a total value of $102,430.

Total Amount is formed as General ($102,430) + Research ($0) + Ownership ($0) = $102,430.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Alkermes, Inc. ($48,682).

Total Amount

$102,430

General + Research + Ownership

Payments

360

Total payment records

General Amount

$102,430

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-09-27

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040927000349IPsychiatryWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes333107$0
View full utilization report →

Insurance plans in this area (ZIP 53039)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789656083View full group profile
NameSpecialtyState
Clinical Social WorkerWI
P S Y C H I A T R YWI
Clinical PsychologistWI
-WI
Clinical PsychologistWI
Clinical Social WorkerWI
Physician AssistantWI
Nurse PractitionerWI
Clinical Social WorkerWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

Is ROYLE G JR. EENIGENBURG (MD) listed with a National Provider Identifier?
Yes — ROYLE G JR. EENIGENBURG (MD) has NPI 1104858836 on file in the registry.
Would ROYLE G JR. EENIGENBURG (MD) appear as active to a payer?
You can treat ROYLE G JR. EENIGENBURG (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ROYLE G JR. EENIGENBURG (MD)?
ROYLE G JR. EENIGENBURG (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROYLE G JR. EENIGENBURG (MD)?
Travel planning: use Juneau, Wisconsin as the reference point for ROYLE G JR. EENIGENBURG (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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