MARK B JUCKETT (MD) – Hematology (Internal Medicine) Physician, NPI 1750357604
Hematology (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
350 HEMATOLOGY/ONCOLOGY in WI
Provider Addresses for MARK B JUCKETT (MD)
600 Highland Ave
Madison, WI 53792
Phone: (608) 265-1700
Fax: (608) 266-6020
Type: Location
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
Phone: (612) 672-6000
Fax: (612) 273-4098
Type: Location
7974, UW Health Court, Discovery Springs, City of Middleton, Dane County, Wisconsin, 53562, United States
MIDDLETON, WI 535625531
Phone:
Type: Mailing
University Hospital Outpatient Pharmacy, 600, Highland Avenue, Madison, Dane County, Wisconsin, 53705-2221, United States
MADISON, WI 53792
Phone: (608) 265-1700
Fax: (608) 266-6020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $2,203.
Total Amount is formed as General ($2,203) + Research ($0) + Ownership ($0) = $2,203.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: National Marrow Donor Program ($2,136).
Total Amount
$2,203
General + Research + Ownership
Payments
6
Total payment records
General Amount
$2,203
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| National Marrow Donor Program | $2,136 |
| BioLineRx USA, Inc. | $50 |
| ADC Therapeutics America, Inc. | $17 |
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: 2021-01-18
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 |
|---|---|---|---|---|
| I20210118000488 | I | Hematology/Oncology | MN | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 71 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 33 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 39 | 18 | $0 |
Insurance plans in this area (ZIP 53792)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL |
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