PARKER HOERZ MD
NPI 1003226259
Family Medicine in Madison, WI
About Parker Hoerz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARKER HOERZ MD (NPI 1003226259) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (65133-20) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Sauk Prairie Hospital, and maintains a secondary practice location in Madison.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Parker Hoerz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Parker Hoerz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53704
- Reassigned Medicare billing, Wisconsin enrollment
- 124 clinicians in this Medicare group
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Lodi, WI 53555
- Reassigned Medicare billing, Wisconsin enrollment
- 110 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sauk Prairie Hospital
Acute Care Hospitals · Prairie Du Sac, WIUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53704
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Parker Hoerz's NPI number?
The NPI number for Parker Hoerz is 1003226259. It was assigned to this individual provider in the NPPES registry on April 28, 2014.
Where is Parker Hoerz located?
Parker Hoerz practices at 3434 E Washington Ave, Madison, WI 53704. The listed phone number is (608) 443-5480.
What is Parker Hoerz's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Parker Hoerz enrolled in Medicare?
Yes. Parker Hoerz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Parker Hoerz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Parker Hoerz reassigns Medicare benefits to 3 organizations: Access Community Health Centers, Inc. (Madison, WI), University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and Sauk Prairie Healthcare Inc (Lodi, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Parker Hoerz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Parker Hoerz accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Parker Hoerz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Parker Hoerz affiliated with any hospitals?
According to CMS data, Parker Hoerz is affiliated with Sauk Prairie Hospital and University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Parker Hoerz was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Parker Hoerz, MD · NPI 1003226259
Family Medicine physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 28, 2014.
## Identity
- **NPI:** 1003226259 (Entity type: Individual)
- **Enumerated:** April 28, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 65133-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3434 E WASHINGTON AVE, Madison, WI 53704-4155
- **Phone:** (608) 443-5480
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Access Community Health Centers, Inc. (NPI 1417055617, Madison, WI); University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); Sauk Prairie Healthcare Inc (NPI 1225003445, Lodi, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** February 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1003226259) · Data from the CMS NPPES public registry.