CARMEN M CAMPBELL M.D.
NPI 1124252887
Internal Medicine - Rheumatology in Madison, WI
About Carmen M Campbell M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARMEN M CAMPBELL M.D. (NPI 1124252887) is an individual rheumatology provider in Madison, Wisconsin, licensed in Wisconsin (55401-20) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Carmen M Campbell 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uw Health
Acute Care Hospitals · Rockford, ILUnitypoint Health - Meriter
Acute Care Hospitals · Madison, WIUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
MADISON, WI 53717
MADISON, WI 53717
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 Carmen Campbell's NPI number?
The NPI number for Carmen Campbell is 1124252887. It was assigned to this individual provider in the NPPES registry on May 11, 2009.
Where is Carmen Campbell located?
Carmen Campbell practices at 451 Junction Rd, Madison, WI 53717. The listed phone number is (608) 263-7577.
What is Carmen Campbell's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Carmen Campbell enrolled in Medicare?
Yes. Carmen Campbell 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 Carmen Campbell accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Carmen Campbell 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 Carmen Campbell affiliated with any hospitals?
According to CMS data, Carmen Campbell is affiliated with Uw Health, Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Carmen Campbell was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.