THOMAS A ZDEBLICK MD
NPI 1003870668
Orthopaedic Surgery in Madison, WI
About Thomas A Zdeblick Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS A ZDEBLICK MD (NPI 1003870668) is an individual orthopaedic surgery provider in Madison, Wisconsin, licensed in Wisconsin (29993-20) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Watertown Memorial Hospital, and maintains a secondary practice location in Watertown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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
Thomas A Zdeblick 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 Thomas Zdeblick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53713
- Reassigned Medicare billing, Wisconsin enrollment
- 20 clinicians in this Medicare group
Mount Horeb, WI 53572
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1487745501 (Wisconsin)
- 166 clinicians in this Medicare group
Janesville, WI 53545
- Reassigned Medicare billing, Wisconsin enrollment
- 194 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Watertown Memorial Hospital
Acute Care Hospitals · Watertown, WIEdgerton Hospital And Health Services
Critical Access Hospitals · Edgerton, WIUpland Hills Health
Critical Access Hospitals · Dodgeville, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 53713
MADISON, WI 53713
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 Thomas Zdeblick's NPI number?
The NPI number for Thomas Zdeblick is 1003870668. It was assigned to this individual provider in the NPPES registry on April 12, 2006.
Where is Thomas Zdeblick located?
Thomas Zdeblick practices at 2501 W Beltline Hwy Ste 601, Madison, WI 53713. The listed phone number is (608) 234-7436.
What is Thomas Zdeblick's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Thomas Zdeblick enrolled in Medicare?
Yes. Thomas Zdeblick 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 Thomas Zdeblick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Zdeblick reassigns Medicare benefits to 3 organizations: Orthopedic & Spine Centers Of Wisconsin, Sc. (Madison, WI), Upland Hills Health, Inc (Mount Horeb, WI) and Beloit Health System, Inc (Janesville, 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 Thomas Zdeblick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Zdeblick accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Group Health Cooperative-SCW and Network Health and 1 other insurer list Thomas Zdeblick 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 Thomas Zdeblick affiliated with any hospitals?
According to CMS data, Thomas Zdeblick is affiliated with Watertown Memorial Hospital, Edgerton Hospital And Health Services and Upland Hills Health.
When was this NPI record last updated?
The NPPES record for Thomas Zdeblick was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Thomas A Zdeblick, MD · NPI 1003870668
Orthopaedic Surgery physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 12, 2006.
## Identity
- **NPI:** 1003870668 (Entity type: Individual)
- **Enumerated:** April 12, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 29993-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2501 W BELTLINE HWY STE 601, Madison, WI 53713-2309
- **Phone:** (608) 234-7436 · **Fax:** (866) 939-2673
## 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): Orthopedic & Spine Centers Of Wisconsin, Sc. (NPI 1083323059, Madison, WI); Upland Hills Health, Inc (NPI 1245628452, Mount Horeb, WI); Beloit Health System, Inc (NPI 1407999337, Janesville, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 1982
## Record status
- **NPPES last updated:** October 7, 2025
- **Other identifiers:** Medicaid 31498400 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1003870668) · Data from the CMS NPPES public registry.