MS. KARLA K WETHAL PA
NPI 1063897163
Physician Assistant in Madison, WI

Active since July 30, 2015PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
2880 UNIVERSITY AVE, MADISON, WI 53705(608) 263-7171(608) 265-8060 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2018, Dec 10, 2015 (2 updates tracked since 2015).

About Ms. Karla K Wethal Pa NPPES

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

MS. KARLA K WETHAL PA (NPI 1063897163) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (3539-23) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063897163
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KARLA K WETHALCredential: PA
Location Address2880 UNIVERSITY AVEMadison, WI 53705-3644
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 265-8060
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 30, 2015
Last NPPES UpdateDecember 4, 20182 updates tracked since enumeration
NPI 1063897163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 3539-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2880 UNIVERSITY AVE, Madison, WI 53705

Other Names 1

Former Name (1)Karla L Klitzman

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 and accepts Medicare assignment

Ms. Karla K Wethal Pa 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 ID7719291418
PECOS Enrollment IDI20150807013899
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 3

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.

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.
242 services238 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.
194 services192 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
19 services19 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 53705 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.

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Pediatrics
2880 UNIVERSITY AVE
MADISON, WI 53705
Ophthalmology
2880 UNIVERSITY AVE
MADISON, WI 53705
Ophthalmology
2880 UNIVERSITY AVE
MADISON, WI 53705
Optometrist
2880 UNIVERSITY AVE
MADISON, WI 53705
Durable Medical Equipment & Medical Supplies
2880 UNIVERSITY AVE
MADISON, WI 53705
Ophthalmology
2880 UNIVERSITY AVE
MADISON, WI 53705
Pediatrics (Pediatric Infectious Diseases)
2880 UNIVERSITY AVE
MADISON, WI 53705
Optometrist
2880 UNIVERSITY AVE
MADISON, WI 53705

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 Karla Wethal's NPI number?

The NPI number for Karla Wethal is 1063897163. It was assigned to this individual provider in the NPPES registry on July 30, 2015. The provider is also known as Karla L Klitzman.

Where is Karla Wethal located?

Karla Wethal practices at 2880 University Ave, Madison, WI 53705. The listed phone number is (608) 263-7171.

What is Karla Wethal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karla Wethal enrolled in Medicare?

Yes. Karla Wethal 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 Karla Wethal accept?

Health plans from Group Health Cooperative-SCW list Karla Wethal 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 Karla Wethal affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Karla Wethal was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.