NICHOLAS A HALLETT M.D.
NPI 1255694790
Pediatrics in Madison, WI
NPI Status: Active since June 20, 2012
Contact Information
1821 S STOUGHTON RD
MADISON, WI
ZIP 53716
Phone: (608) 260-6000
Fax: (608) 260-6289
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About NICHOLAS HALLETT
This page provides the complete NPI Profile along with additional information for Nicholas Hallett, a pediatrician established in Madison, Wisconsin with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1255694790 assigned on June 2012. The practitioner's primary taxonomy code is 208000000X with license number 67420-20 (WI). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1255694790
- Provider Name
- NICHOLAS A HALLETT M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1821 S STOUGHTON RD MADISON, WI 53716
- Location Phone
- (608) 260-6000
- Location Fax
- (608) 260-6289
- Mailing Address
- 1821 S STOUGHTON RD MADISON, WI 53716
- Mailing Phone
- (608) 260-6000
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-20-2012
- Last Update Date
- 02-08-2019
- Code Navigator
A pediatrician like Nicholas Hallett is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 67420-20
- License State
- WI
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Focus Bronze $0 Copay PCP Visits - EPO
- Dean Focus Bronze Share - EPO
- Dean Focus Catastrophic - EPO
- Dean Focus Expanded Bronze Standard - EPO
- Dean Focus Gold HSA - EPO
- Dean Focus Gold Share - EPO
- Dean Focus Gold Standard - EPO
- Dean Focus Silver $0 Copay PCP Visits - EPO
- Dean Focus Silver Share - EPO
- Dean Focus Silver Standard - EPO
- Dean Gold HSA - HMO
- Dean Gold Share - HMO
- Dean Gold Standard - HMO
- Dean Silver $0 Copay PCP Visits - HMO
- Dean Silver Share - HMO
- Dean Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1255694790 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Nicholas Hallett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53716 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for NICHOLAS A HALLETT M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 6 | 9 | 4 | 7 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 12 | 9 | 8 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 2 + 9 + 8 + 7 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255694790 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679569024 | MRS. AMANDA JEAN JOHNSON PA-C Individual | Physician Assistant (Medical) | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1639135841 | NANCY A HAIR LCSW Individual | Social Worker (Clinical) | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1467419408 | MICHAEL J LEMKE LCSW Individual | Social Worker (Clinical) | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1275590168 | THOMAS A CRABB LCSW Individual | Social Worker (Clinical) | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1154389781 | PAUL G GINTER PA-C Individual | Physician Assistant (Medical) | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1386693554 | PAMELA H MAXSON NP Individual | Nurse Practitioner | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1033160460 | KAY M BARRETT MD Individual | Internal Medicine (Cardiovascular Disease) | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1053365858 | MARSHALL FIELDS MD Individual | Family Medicine | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1922051788 | DAVID L HAHN MD Individual | Family Medicine | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1861447872 | MARY H KNOTTS MD Individual | Internal Medicine | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1609823244 | JEAN DEMOPOULOS MD Individual | Obstetrics & Gynecology | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1578500872 | ROBERT L ALT MD Individual | Internal Medicine | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1942249255 | ROBERT D GILBERT MD Individual | Internal Medicine | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1215977947 | WILLIAM S KOLLER MD Individual | Obstetrics & Gynecology | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1821039579 | LISA R RAMBALDO PSYD Individual | Psychologist | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1538101514 | RONALD D WENGER MD Individual | Surgery | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
| 1114961158 | ROBERT S STEELE MD Individual | Emergency Medicine | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 250-1525 |
| 1801830971 | KIRK D BERGER MD Individual | Emergency Medicine | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 250-1525 |
| 1912941162 | STEVEN W REED MD Individual | Emergency Medicine | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 250-1525 |
| 1598701278 | JEFFREY J WELCH MD Individual | Orthopaedic Surgery | 1821 S STOUGHTON RD DEAN MEDICAL CENTER MADISON, WI 53716 (608) 260-6000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255694790, enumerated in the NPI registry as an "individual" on June 20, 2012
The provider is located at 1821 S Stoughton Rd Madison, Wi 53716 and the phone number is (608) 260-6000
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 20, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.