Jacob Mccallum, DO
NPI 1194210492 · Diagnostic Radiology Physician · Middleton, WI
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Mccallum, DO is a Diagnostic Radiology Physician provider in Middleton, WI (NPI 1194210492).
Provider details
- NPI number
- 1194210492
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101024188 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,664 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 173 | $8 |
| Screening 3d Breast Mammography77063 | 102 | $26 |
| Screening Mammography77067 | 102 | $34 |
| X-Ray of Pelvis, 1-2 Views72170 | 82 | $8 |
| Ct Scan Head Or Brain Without Contrast70450 | 81 | $37 |
| X-Ray of Chest, 2 Views71046 | 81 | $10 |
| Ct Scan of Abdomen and Pelvis With Contrast |
Practice location
Mailing address
Additional practice locations (1)
- 221 Michigan St Ne Ste 402Grand Rapids, MI 49503-2538Phone: (616) 391-1929Fax: (616) 391-3130
Registry dates
- Enumerated
- 2018-06-28
- Last updated
- 2024-07-23
- Certified
- 2024-07-23
Frequently asked questions
- What is Jacob Mccallum's NPI number?
- Jacob Mccallum's National Provider Identifier (NPI) is 1194210492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Mccallum's specialty?
- Jacob Mccallum is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jacob Mccallum located?
- Jacob Mccallum's practice location on file with NPPES is 8430 Market St Apt 118, Middleton, WI 53562-4782.
- What is Jacob Mccallum's phone number?
- The practice phone number listed in the NPPES registry for Jacob Mccallum is (612) 328-1583.
- Does Jacob Mccallum accept Medicare?
- Jacob Mccallum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Mccallum's NPI active?
- Yes — Jacob Mccallum's NPI (1194210492) is active in the NPPES registry as of the last update on 2024-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.