DR. JASON SCOTT PRUDOM (M.D.) – Pulmonary Disease Physician, NPI 1265775993
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
348 PULMONARY DISEASE in WI
Provider Addresses for DR. JASON SCOTT PRUDOM (M.D.)
GREATER MILWAUKEE CRITICAL CARE AND PULMONARY ASSOCIATE
PO BOX 070520
MILWAUKEE, WI 532070520
Phone: (414) 649-3810
Fax: (262) 240-0841
Type: Mailing
3201 S 16TH ST STE 2015
MILWAUKEE, WI 532154532
Phone: (414) 649-3810
Fax: (262) 240-0841
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-07-09
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 |
|---|---|---|---|---|
| I20190709000003 | I | Pulmonary Disease | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 396 | 186 | $0 |
| 99291 | Critical care, first 30-74 minutes | 287 | 137 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 110 | 42 | $0 |
| 99292 | Critical care, each additional 30 minutes | 108 | 36 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 38 | 38 | $0 |
Insurance plans in this area (ZIP 53207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Critical Care (Intensivists) | WI | |
| Internal Medicine, Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists) | IL | |
| Nurse Practitioner | WI |
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