Jacob Tyler McCallum, DO
NPI 1194210492ActiveIndividual· Radiology, Diagnostic Radiology· Middleton, WI
Radiology, Diagnostic Radiology (DO) with Dean Health Systems Inc and 1 other group, practicing in Middleton, Wisconsin. Medicare paid $68,143 for services to 1,524 patients in 2024. Lists Reedsburg Area Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1194210492 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 28, 2018 |
| Last updated in NPPES | Jul 23, 2024 |
| Certified by provider | Jul 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 81114 | WI |
| Radiology, Diagnostic Radiology | 2085R0202X | 5101024188 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,524 |
|---|---|
| Services billed | 4,828 across 149 procedure codes |
| Paid by Medicare | $68,143 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Dean Health Systems IncSun Prairie, WI · 1,159 clinicians
- Madison Radiologists S CEdgerton, WI · 57 clinicians
Hospital affiliations
- Reedsburg Area Medical CenterReedsburg, WI
- Sauk Prairie HospitalPrairie Du Sac, WI
- Ssm Health St Clare Hospital - BarabooBaraboo, WI
- Ssm Health St Mary's Hospital - MadisonMadison, WI
- The Monroe ClinicMonroe, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Radiology, Diagnostic Radiology providers in Middleton
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