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KETTY THERTUS M.D.
NPI 1083928121
Psychiatry & Neurology - Psychiatry in Madison, WI

Active since July 30, 2010PECOS EnrolledAccepts Medicare Assignment
1102 S PARK ST, MADISON, WI 53715(608) 282-8270(608) 287-5992 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2021, Nov 13, 2015 (2 updates tracked since 2015).

About Ketty Thertus M.d. NPPES

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

KETTY THERTUS M.D. (NPI 1083928121) is an individual psychiatry provider in Madison, Wisconsin, licensed in Wisconsin (64526) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Rutgers New Jersey Medical School (2010).

NPPES Registry Identity

NPI1083928121
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKETTY THERTUSCredential: M.D.
Location Address1102 S PARK STMadison, WI 53715-1708
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 282-8270
Fax(608) 287-5992
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2010
Enumeration DateJuly 30, 2010
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1083928121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 64526
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1102 S PARK ST, Madison, WI 53715
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.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

Ketty Thertus 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 ID1951528439
PECOS Enrollment IDI20150904000724
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

2

Medicare enrollment records show Ketty Thertus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meriter Hospital, Inc.
0.8 mi
General Practice
202 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 164 clinicians in this Medicare group
NPI 1548635345 (608) 417-6000
University Of Wisconsin Medical Foundation, Inc
7.1 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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.

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.
150 services53 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
50 services49 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 53715 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

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.

CAITLIN J REGNER MD
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
LEA GARDINER RN
Nurse Practitioner (Psychiatric/Mental Health)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
ALLISON PLUMMER MSSW
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
JOSE MANUEL CARRILLO MD
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
JULITA ANNA JANKOWSKA LICENSED PROFESSIONA
Counselor (Professional)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
RHONDA L SAGER MA, BA, SAC-IT
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
DR. YOHUALLI BALDERAS-MEDINA ANAYA M.D.
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
DR. ANDREW S MCCLINTOCK PHD
Psychologist
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-9550

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 Ketty Thertus's NPI number?

The NPI number for Ketty Thertus is 1083928121. It was assigned to this individual provider in the NPPES registry on July 30, 2010.

Where is Ketty Thertus located?

Ketty Thertus practices at 1102 S Park St, Madison, WI 53715. The listed phone number is (608) 282-8270.

What is Ketty Thertus's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ketty Thertus enrolled in Medicare?

Yes. Ketty Thertus 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 Ketty Thertus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketty Thertus reassigns Medicare benefits to 2 organizations: Meriter Hospital, Inc. (Madison, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, 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 Ketty Thertus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ketty Thertus accept?

Health plans from Group Health Cooperative-SCW list Ketty Thertus 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 Ketty Thertus affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Ketty Thertus was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.