ELIZABETH B. HATHAWAY MD
NPI 1073600110
Family Medicine in Madison, WI

Q: What is Elizabeth Hathaway's NPI number?

The NPI number for Elizabeth Hathaway is 1073600110. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Q: What is Elizabeth Hathaway's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 09, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2402 WINNEBAGO ST, MADISON, WI 53704(608) 828-7603 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Feb 4, 2025, Apr 22, 2024 and 1 more (4 updates tracked since 2021).

On this page

About Elizabeth B. Hathaway Md NPPES

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

ELIZABETH B. HATHAWAY MD (NPI 1073600110) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (67842) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hazelhurst, and is a graduate of University Of South Alabama College Of Medicine (1990).

NPPES Registry Identity

NPI1073600110

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELIZABETH B. HATHAWAYCredential: MD

Location Address2402 WINNEBAGO STMadison, WI 53704-5341

Mailing Address6874 Gaulke CirHazelhurst, WI 54531-3500

Phone(608) 828-7603

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1990

Enumeration DateOctober 9, 2006

Last NPPES UpdateJune 16, 20254 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1073600110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 67842

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2402 WINNEBAGO ST, Madison, WI 53704

Open in Google Maps ↗

Secondary Practice Location 1

Location 16874 Gaulke CirHazelhurst, WI 54531-3500 · Phone (615) 480-7410

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, UnitedHealthcare.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

Elizabeth B. Hathaway 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 ID3476457284

PECOS Enrollment IDI20031124000226

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 2

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.

24 services24 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.

16 services16 patients

Physician 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.

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

$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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.25

Promoting Interoperability

100

Improvement Activities

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.

MARIANA LEE MONTERO JAQUES MD

Pediatrics