Doctor profile · Federal record
Dr. Jonathan Rathod, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Student in an Organized Health Care Education/Training Program · Mount Pleasant, WI
- NPI 1174987267
- Accepts Medicare
- MIPS 80.9 / 100 · 2023
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3803 Spring St
Mount Pleasant, WI 534051660
(262) 687-5236
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- March 27, 2024
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Wisconsin #69453
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174987267. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
373
Distinct HCPCS
10
Medicare allowed
$40,252
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 85 | 34 | $199 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 55 | 35 | $92 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 41 | 29 | $134 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 38 | 24 | $112 | |
94729 |
Test to examine how well the lungs exchange gases | 29 | 28 | $8 | |
94726 |
Test to determine lung volumes using sensors | 28 | 27 | $11 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 26 | 26 | $169 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 24 | 23 | $10 | |
99292 |
Critical care, each additional 30 minutes | 23 | 18 | $100 | |
31645 |
Aspiration of initial secretion of lung airway using an endoscope | 12 | 11 | $71 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 33. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$192
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $147.49 | |
| AstraZeneca Pharmaceuticals LP | 1 | $44.30 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
663
Patients
159
Total drug cost
$238,463
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 199 | 42 | $148,475 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 82 | 34 | $2,527 |
| Pantoprazole Sodium | Generic | 79 | 22 | $1,048 |
| Fluticasone Propionate | Generic | 46 | 22 | $605 |
| Montelukast Sodium | Generic | 42 | 0 | $394 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 37 | 11 | $24,863 |
| Advair Diskus (Fluticasone Propion/Salmeterol) | Brand | 31 | 0 | $18,349 |
| Prednisone | Generic | 26 | 17 | $99 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 20 | 0 | $9,513 |
| Wixela Inhub (Fluticasone Propion/Salmeterol) | Brand | 20 | 11 | $3,547 |
Frequently asked questions
What is Dr. Jonathan Rathod's medical specialty?
Dr. Jonathan Rathod practices Pulmonary Disease Physician in Mount Pleasant, WI.
Where does Dr. Jonathan Rathod practice?
Dr. Jonathan Rathod practices at 3803 Spring St, Mount Pleasant, WI 534051660. Office phone: 2626875236.
What is Dr. Jonathan Rathod's NPI?
Dr. Jonathan Rathod's National Provider Identifier (NPI) is 1174987267, issued by NPPES.
Does Dr. Jonathan Rathod accept Medicare assignment?
Yes. Dr. Jonathan Rathod accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jonathan Rathod commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.