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

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: October 18, 2026.

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

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
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

Secondary Practice Location 1

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

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

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.

Medicare Billing Reassignments

8

Medicare enrollment records show Elizabeth Hathaway reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1580 W JAMES ST
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Beaver Dam Community Hospitals Inc.
  • 1,447 clinicians in this Medicare group
Clinic/Center
440 24TH ST S
Wisconsin Rapids, WI 54494
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,440 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Internal Medicine
1301 22ND AVE S
Nashville, TN 37232
  • Reassigned Medicare billing, Tennessee enrollment
  • 4,711 clinicians in this Medicare group
Urgent Care
1521 GUNBARREL RD, STE 103
Chattanooga, TN 37421
  • Reassigned Medicare billing, Tennessee enrollment
  • 224 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 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
Quality95.25
Promoting Interoperability100
Improvement Activities40

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
2402 WINNEBAGO ST
MADISON, WI 53704
Nurse Practitioner
2402 WINNEBAGO ST
MADISON, WI 53704
Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Family Medicine
2402 WINNEBAGO ST
MADISON, WI 53704
Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Nurse Practitioner
2402 WINNEBAGO ST
MADISON, WI 53704
Family Medicine
2402 WINNEBAGO ST
MADISON, WI 53704

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 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.

Where is Elizabeth Hathaway located?

Elizabeth Hathaway practices at 2402 Winnebago St, Madison, WI 53704. The listed phone number is (608) 828-7603.

What is Elizabeth Hathaway's specialty?

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

Is Elizabeth Hathaway enrolled in Medicare?

Yes. Elizabeth Hathaway 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 Elizabeth Hathaway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Hathaway reassigns Medicare benefits to 8 organizations: Beaver Dam Community Hosptials Inc (Columbus, WI), Mchs Hospitals Inc (Wisconsin Rapids, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital Inc (Neillsville, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI) and 3 more organizations, listed in the Medicare section above. 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 Elizabeth Hathaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Hathaway accept?

Health plans from UnitedHealthcare list Elizabeth Hathaway 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Hathaway was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.