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MICHAEL J GARREN MD
NPI 1013971662
Surgery in Madison, WI

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
1 SOUTH PARK ST, MADISON, WI 53715(608) 287-2100(608) 287-2324 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J Garren Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J GARREN MD (NPI 1013971662) is an individual surgery provider in Madison, Wisconsin, licensed in Wisconsin (31543) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Wisconsin School Of Medicine (1989).

NPPES Registry Identity

NPI1013971662
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL J GARRENCredential: MD
Location Address1 SOUTH PARK STMadison, WI 53715
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5485
Phone(608) 287-2100
Fax(608) 287-2324
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1989
Enumeration DateApril 12, 2006
Last NPPES UpdateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
✔ NPI 1013971662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 31543
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1 SOUTH PARK ST, Madison, WI 53715
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael J Garren 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.

PECOS PAC ID1850288085
PECOS Enrollment IDI20040302001343, I20170309000818
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This 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.
47 services47 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
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.
35 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
32 services31 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD C SAUER MS CCC A
Audiologist
1 SOUTH PARK ST
MADISON, WI 53715
Dane County (608) 287-2650
JOHN L JUOZEVICIUS MD
Internal Medicine (Rheumatology)
1 SOUTH PARK ST
MADISON, WI 53715
Dane County (608) 287-2800
MARGARET L SCHWARZE MD
Surgery (Vascular Surgery)
1 SOUTH PARK ST
MADISON, WI 53715
Dane County (608) 287-2100

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 Michael Garren's NPI number?

The NPI number for Michael Garren is 1013971662. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Michael Garren located?

Michael Garren practices at 1 South Park St, Madison, WI 53715. The listed phone number is (608) 287-2100.

What is Michael Garren's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Garren enrolled in Medicare?

Yes. Michael Garren 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.

What insurance does Michael Garren accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Michael Garren 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 Michael Garren affiliated with any hospitals?

According to CMS data, Michael Garren is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Michael Garren was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.