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PUNEET S DHILLON M.D.
NPI 1073855474
Internal Medicine in Madison, WI

Active since March 23, 2013PECOS EnrolledAccepts Medicare Assignment
79.8/100
CMS Quality Rating
4410 REGENT ST, MADISON, WI 53705(608) 233-9746(608) 236-1981 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2018, Feb 14, 2017 (2 updates tracked since 2017).

About Puneet S Dhillon M.d. NPPES

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

PUNEET S DHILLON M.D. (NPI 1073855474) is an individual internal medicine provider in Madison, Wisconsin, licensed in Wisconsin (62731) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stoughton, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1073855474
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePUNEET S DHILLONCredential: M.D.
Location Address4410 REGENT STMadison, WI 53705
Mailing Address3061 Linnerud DrStoughton, WI 53589-3287 · (608) 772-9454
Phone(608) 233-9746
Fax(608) 236-1981
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 23, 2013
Last NPPES UpdateJuly 18, 20182 updates tracked since enumeration
✔ NPI 1073855474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 62731
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4410 REGENT ST, Madison, WI 53705
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Secondary Practice Location 1

Location 1900 Ridge StStoughton, WI 53589-1864 · Phone (608) 873-6611

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.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

Puneet S Dhillon M.d. 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 ID3274816327
PECOS Enrollment IDI20170215001177
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

5

Medicare enrollment records show Puneet Dhillon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beam Healthcare, Sc
3.5 mi
Hospitalist
25 W MAIN ST FL 5
Madison, WI 53703
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 clinicians in this Medicare group
NPI 1275159998 (888) 250-2326
Stoughton Hospital Association
8.4 mi
Urgent Care
5614 US HIGHWAY 51
Mcfarland, WI 53558
  • Reassigned Medicare billing, Wisconsin enrollment
  • 86 clinicians in this Medicare group
NPI 1477146082 (608) 838-8242
Wil Hospitalists LLC
26 mi
Internal Medicine
11101 N SHERMAN RD
Edgerton, WI 53534
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 clinicians in this Medicare group
NPI 1245776384 (281) 853-4429
Maple Medical Sc
61 mi
Physical Medicine & Rehabilitation
2428 N GRANDVIEW BLVD STE 102
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 141 clinicians in this Medicare group
NPI 1487152104 (877) 307-3226
Oak Medical Sc
63 mi
Internal Medicine
N20W22961 WATERTOWN RD
Waukesha, WI 53186
  • Reassigned Medicare billing, Wisconsin enrollment
  • 191 clinicians in this Medicare group
NPI 1669910345 (262) 875-5070

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
240 services105 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
73 services70 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
63 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services15 patients

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
$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.

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.

79.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.94
Promoting Interoperability100
Improvement Activities40
Cost39.73

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.

DR. ELMA O SIA M.D.
Pediatrics
4410 REGENT ST
MADISON, WI 53705
Dane County (608) 233-9746
AMY L FOTHERGILL M.D.
Internal Medicine
4410 REGENT ST, ASSOCIATED PHYSICIANS, LLP
MADISON, WI 53705
Dane County (608) 233-9746
LESLIE M RIOPEL M.D.
Pediatrics
4410 REGENT ST, ASSOCIATED PHYSICIANS, LLP
MADISON, WI 53705
Dane County (608) 233-9746
KAYLA LAUREN MOSES PA-C
Physician Assistant
4410 REGENT ST
MADISON, WI 53705
Dane County (608) 233-9746
DR. THOMAS S HYZER M.D.
Internal Medicine
4410 REGENT ST
MADISON, WI 53705
Dane County (608) 233-9746
FRANCES R RYAN MD
Internal Medicine
4410 REGENT ST, ASSOCIATED PHYSICIANS, LLP
MADISON, WI 53705
Dane County (608) 233-9746
ZOE LOUISE RAMMELKAMP MD
Internal Medicine
4410 REGENT ST
MADISON, WI 53705
Dane County (612) 626-5454
ERICA E.S. SWENSON MD
Pediatrics
4410 REGENT ST
MADISON, WI 53705
Dane County (608) 233-9746

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 Puneet Dhillon's NPI number?

The NPI number for Puneet Dhillon is 1073855474. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Where is Puneet Dhillon located?

Puneet Dhillon practices at 4410 Regent St, Madison, WI 53705. The listed phone number is (608) 233-9746.

What is Puneet Dhillon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Puneet Dhillon enrolled in Medicare?

Yes. Puneet Dhillon 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 Puneet Dhillon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Puneet Dhillon reassigns Medicare benefits to 5 organizations: Beam Healthcare, Sc (Madison, WI), Stoughton Hospital Association (Mcfarland, WI), Wil Hospitalists LLC (Edgerton, WI), Maple Medical Sc (Waukesha, WI) and Oak Medical Sc (Waukesha, WI). 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 Puneet Dhillon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Puneet Dhillon accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Puneet Dhillon 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 Puneet Dhillon was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.