MARY JO ROLFES-LO (M.D.) – Allergy & Immunology (Internal Medicine) Physician, NPI 1508839838
Allergy & Immunology (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
96 ALLERGY/IMMUNOLOGY in WI
Provider Addresses for MARY JO ROLFES-LO (M.D.)
1500 Walnut Ridge Dr
ProHealth Care Medical Associates, Inc.
Hartland, WI 530299317
Phone: (262) 928-7500
Fax: (262) 637-8744
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone: (414) 570-3590
Type: Mailing
Riverwood, N17W24100, Riverwood Drive, Riverwood Corporate Center, City of Pewaukee, Waukesha County, Wisconsin, 53188, United States
PROHEALTH CARE MEDICAL ASSOCIATES, INC.
WAUKESHA, WI 531881177
Phone: (262) 928-4100
Fax: (262) 928-5835
Type: Mailing
1500, Walnut Ridge Drive, River Reserve, Hartland, Waukesha County, Wisconsin, 53029, United States
PROHEALTH CARE MEDICAL ASSOCIATES, INC.
HARTLAND, WI 530299317
Phone: (262) 928-7500
Fax: (262) 637-8744
Type: Location
200 E RYAN RD
OAK CREEK, WI 531544563
Phone: (414) 570-3590
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($78).
Total Amount
$78
General + Research + Ownership
Payments
1
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $78 |
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: 2010-07-06
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 |
|---|---|---|---|---|
| I20100706000548 | I | Allergy/Immunology | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 53029)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | IL | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
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