SCOTT ALLEN ANDERSON M.D.
NPI 1659320422
Orthopaedic Surgery in Madison, WI
NPI Status: Active since May 09, 2006
Contact Information
UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS
600 HIGHLAND AVE. ROOM H4/831-8320
MADISON, WI
ZIP 53792
Phone: (608) 263-0572
- Individual
- Male
- Years of Experience 21
- Orthopaedic Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SCOTT ANDERSON
This page provides the complete NPI Profile along with additional information for Scott Anderson, a provider established in Madison, Wisconsin with a medical specialization in Orthopaedic Surgery and more than 21 years of experience. He graduated from University Of Wisconsin School Of Medicine in 2005. The healthcare provider is registered in the NPI registry with number 1659320422 assigned on May 2006. The practitioner's primary taxonomy code is 207X00000X with license number 1537 (WI). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1659320422
- Provider Name
- SCOTT ALLEN ANDERSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE. ROOM H4/831-8320 MADISON, WI 53792
- Location Phone
- (608) 263-0572
- Mailing Address
- UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE. ROOM H4/831-8320 MADISON, WI 53792
- Mailing Phone
- (608) 263-0572
- Medical School Name
- UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-09-2006
- Last Update Date
- 03-14-2023
- Code Navigator
Location Map
Secondary Locations
- 1211 Fish Hatchery Rd
Madison, WI 53715
(608) 252-8000
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1537
- License State
- WI
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | 49520 (WV) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- 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 Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- 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
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Better Together HMO Bronze 6500 Ded/8000 MOOP - HMO
- Better Together HMO Bronze 7500 Ded/9200 MOOP - HMO
- Better Together HMO Bronze No Medical Ded/9200 MOOP - HMO
- Better Together HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Better Together HMO Gold 1500 Ded/7800 MOOP - HMO
- Better Together HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Better Together HMO Platinum 500 Ded/1500 MOOP with Vision - HMO
- Better Together HMO Platinum No Ded/2800 MOOP - HMO
- Better Together HMO Platinum No Ded/4300 MOOP - HMO
- Better Together HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- Enrich $1,500 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,100 HDHP - HMO
- Enrich $5,000 - 40% - HMO
- Enrich $6,200 HDHP - HMO
- Enrich $7,500 - HMO
- Enrich $9,200 - HMO
- Enrich Protection - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Scott Anderson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Scott Anderson 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
PECOS PAC ID: 4284888728
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130208000178
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hip replacement
Knee replacement
Lower limb (leg) arthroscopy (minimally invasive joint repair)
New patient office or other outpatient visit, 30-44 minutes
Prosthetic repair of shoulder joint, total shoulder
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
Upper limb (arm) arthroscopy (minimally invasive joint repair)
X-ray of both hips, 3-4 views
X-ray of hip, 2-3 views
X-ray of knee, 1-2 views
X-ray of knee, 3 views
X-ray of knee, 4 or more views
X-ray of shoulder, minimum of 2 views
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 26 times for 25 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 179 times for 159 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 48 times for 47 patientsA hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.
This service was performed for 76 patientsA knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
This service was performed for 73 patientsLower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
This service was performed for 1-10 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 24 times for 24 patientsTotal shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
This service was performed 23 times for 23 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 32 times for 30 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 26 times for 26 patientsUpper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.
This service was performed for 14 patientsAn X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.
This service was performed 12 times for 12 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 57 times for 50 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 31 times for 29 patientsAn X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
This service was performed 31 times for 24 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 91 times for 71 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 106 times for 87 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.73 for a new patient copayment and $16.84 for an established patient copayment.
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 53792 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 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Scott Anderson is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| UNITYPOINT HEALTH - MERITER | 202 S PARK ST MADISON, WI 53715 | (608) 417-6000 | Acute Care Hospitals | |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY | 600 HIGHLAND AVENUE MADISON, WI 53792 | (608) 263-6400 | Acute Care Hospitals |
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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 | 6 | 5 | 9 | 3 | 2 | 0 | 4 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 6 | 2 | 0 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 6 + 2 + 0 + 4 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1659320422 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1154382471 | ANN M VALDER M.D., PH.D. Individual | Pathology (Clinical Pathology/Laboratory Medicine) | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE H4/831-8320 MADISON, WI 53792 (608) 263-0572 |
| 1467419762 | SIGURBJORG J. SKARPHEDINSDOTTIR M.D. Individual | Student in an Organized Health Care Education/Training Program | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE. ROOM H4/831-8320 MADISON, WI 53792 (608) 263-0572 |
| 1306894944 | ROBERT I. MACFARLANE M.D. Individual | Anesthesiology | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE. ROOM H4/831-8320 MADISON, WI 53792 (608) 263-0572 |
| 1275582033 | PAUL S. JEPPSEN M.D. Individual | Ophthalmology | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE. ROOM H4/831-8320 MADISON, WI 53792 (608) 263-0572 |
| 1871538868 | SARA BLACK M.D. Individual | Student in an Organized Health Care Education/Training Program | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE., ROOM H4/831-8320 MADISON, WI 53792 (608) 263-0572 |
| 1831134659 | HERMAN L. DOUCET-ROSADO M.D. Individual | Student in an Organized Health Care Education/Training Program | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE., ROOM H4/831-8320 MADISON, WI 53792 (608) 263-0572 |
| 1972539104 | SARA H. ZYDOWICZ D.O. Individual | Student in an Organized Health Care Education/Training Program | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE., ROOM H4/831-8320 MADISON, WI 53792 (608) 263-0572 |
| 1659307577 | MICHAEL G. VANBUER M.D., PH.D. Individual | Student in an Organized Health Care Education/Training Program | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE., ROOM H4/831-8320 MADISON, WI 53792 (608) 263-0572 |
| 1982768677 | SHRAVAN KETHIREDDY M.D. Individual | Internal Medicine (Infectious Disease) | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-2675 |
| 1417368002 | TYMALYN FITZGERALD JAMES RN Individual | Registered Nurse (Neuroscience) | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVENUE MADISON, WI 53792 (608) 263-6400 |
| 1417365446 | CHRISTOPHER VIESSELMANN PHARMD Individual | Pharmacist | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVENUE MADISON, WI 53792 (608) 263-1290 |
| 1093109225 | JILLIAN LAURENT OTR Individual | Occupational Therapist | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVENUE, MAIL STOP 2424 MADISON, WI 53792 (608) 263-8060 |
| 1083082028 | ERIN RIEZMAN OTR/L Individual | Occupational Therapist | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVENUE MADISON, WI 53792 (608) 263-8060 |
| 1689005548 | KATELIN HOESLY P.T., D.P.T. Individual | Physical Therapist | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVENUE, MAIL STOP 2424 MADISON, WI 53792 (608) 263-8060 |
| 1386092930 | KATHERINE ZIEHR OTR Individual | Occupational Therapist | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVENUE, MAIL STOP AC02 MADISON, WI 53792 (608) 263-8060 |
| 1588116768 | CASEY DITROIA DPT Individual | Physical Therapist | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVE MAIL STOP 2424 MADISON, WI 53792 (608) 263-8060 |
| 1750892535 | JARED PAUL ANASTACIO BORLAGDAN Individual | Pharmacist | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVENUE, 1530 MADISON, WI 53792 (608) 263-1290 |
| 1881105658 | MRS. TRESA SWATZEL BINEK PHARMD Individual | Pharmacist | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVENUE MADISON, WI 53792 (608) 263-1290 |
| 1457830713 | EMILY HYYPIO MS Individual | Speech-Language Pathologist | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVENUE MADISON, WI 53792 (608) 263-8060 |
| 1770939605 | DORIAN WOOLFOLK OTR/L Individual | Occupational Therapist | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS 600 HIGHLAND AVENUE MADISON, WI 53792 (608) 263-8060 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659320422, enumerated in the NPI registry as an "individual" on May 09, 2006
The provider is located at University Of Wisconsin Hospital And Clinics 600 Highland Ave. Room H4/831-8320 Madison, Wi 53792 and the phone number is (608) 263-0572
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider has more than 21 years of experience. He graduated from University Of Wisconsin School Of Medicine in 2005.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. 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 $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hip replacement, Knee replacement, Lower limb (leg) arthroscopy (minimally invasive joint repair), New patient office or other outpatient visit, 30-44 minutes, Prosthetic repair of shoulder joint, total shoulder, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, Upper limb (arm) arthroscopy (minimally invasive joint repair), X-ray of both hips, 3-4 views, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views, X-ray of knee, 4 or more views and X-ray of shoulder, minimum of 2 views.
The practitioner is affiliated to the following hospital(s): UNITYPOINT HEALTH - MERITER and UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 09, 2006. 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.