KENNETH COGGINS M.D.
NPI 1124415021
Internal Medicine in Madison, WI

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
53.67/100
CMS Quality Rating
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE., MADISON, WI 53792(608) 263-5660 Get Directions Write a Review

NPPES record last updated: April 23, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2017, Jan 2, 2017 (2 updates tracked since 2017).

About Kenneth Coggins M.d. NPPES

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

KENNETH COGGINS M.D. (NPI 1124415021) is an individual internal medicine provider in Madison, Wisconsin, licensed in Wisconsin (5865-851) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2015).

NPPES Registry Identity

NPI1124415021
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH COGGINSCredential: M.D.
Location AddressUW HOSPITALS AND CLINICS, 600 HIGHLAND AVE.Madison, WI 53792-0001
Mailing Address600 Highland Ave., Uw Hospitals And ClinicsMadison, WI 53792
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2015
Enumeration DateApril 20, 2015
Last NPPES UpdateApril 23, 20172 updates tracked since enumeration
NPI 1124415021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in WI · 5865-851 Licensed in WI · 67177
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.

UW HOSPITALS AND CLINICS, Madison, WI 53792

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

Kenneth Coggins 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 ID8426365578
PECOS Enrollment IDI20210630002035
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 20

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
944 services90 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
540 services91 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
402 services177 patients
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.
283 services216 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
175 services96 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.
157 services127 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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.

53.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.79
Promoting Interoperability0
Improvement Activities40
Cost43.12

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.

Radiology (Radiation Oncology)
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Diagnostic Radiology)
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Student in an Organized Health Care Education/Training Program
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Pathology (Anatomic Pathology & Clinical Pathology)
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE.
MADISON, WI 53792
Pathology (Anatomic Pathology & Clinical Pathology)
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Internal Medicine (Medical Oncology)
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Emergency Medicine
UW HOSPITALS AND CLINICS, 600 UNIVERSITY AVE
MADISON, WI 53792

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 Kenneth Coggins's NPI number?

The NPI number for Kenneth Coggins is 1124415021. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Kenneth Coggins located?

Kenneth Coggins practices at Uw Hospitals And Clinics 600 Highland Ave., Madison, WI 53792. The listed phone number is (608) 263-5660.

What is Kenneth Coggins's specialty?

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

Is Kenneth Coggins enrolled in Medicare?

Yes. Kenneth Coggins 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 Kenneth Coggins accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kenneth Coggins 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 Kenneth Coggins was last updated on April 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.