DR. ANDREW MARK WIDMER MD PHD
NPI 1053871103
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Madison, WI

Active since March 24, 2019PECOS Enrolled
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-5448(608) 263-5448 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2026, Feb 6, 2026, Nov 25, 2025 and 1 more (4 updates tracked since 2019).

About Dr. Andrew Mark Widmer Md Phd NPPES

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

DR. ANDREW MARK WIDMER MD PHD (NPI 1053871103) is an individual neurology with special qualifications in child neurology provider in Madison, Wisconsin, licensed in Wisconsin (85937-20) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053871103
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. ANDREW MARK WIDMERCredential: MD PHD
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address1685 Highland AveMadison, WI 53705-2281
Fax(608) 263-5448
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 24, 2019
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1053871103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses Licensed in WI · 85937-20 Licensed in IL · 036.177455
Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

600 HIGHLAND AVE, Madison, WI 53792

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Andrew Mark Widmer Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719470731
PECOS Enrollment IDI20251208000536, I20260205002945
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 19

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

Emergency Medicine
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Diagnostic Radiology)
600 HIGHLAND AVE
MADISON, WI 53792
Neurological Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Psychiatry & Neurology (Neurology)
600 HIGHLAND AVE
MADISON, WI 53792
Psychiatry & Neurology (Neurology)
600 HIGHLAND AVE
MADISON, WI 53792
Nurse Practitioner
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Diagnostic Radiology)
600 HIGHLAND AVE
MADISON, WI 53792
Physician Assistant
600 HIGHLAND AVE
MADISON, WI 53792

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053871103, enumerated as an "individual" on March 24, 2019.

The provider is located at 600 HIGHLAND AVE MADISON, WI 53792 and the phone number is (608) 263-5448.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.

The provider might be accepting Accepts: Quartz. Please consult your insurance carrier or call the provider to verify.