EMILY M FONTAINE MD
NPI 1144531096
Family Medicine in Madison, WI

Active since June 25, 2010PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
2402 WINNEBAGO ST, MADISON, WI 53704(608) 242-6855(608) 242-6848 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2022, Apr 5, 2022 (2 updates tracked since 2022).

About Emily M Fontaine Md NPPES

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

EMILY M FONTAINE MD (NPI 1144531096) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (72582-20) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1144531096
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEMILY M FONTAINECredential: MD
Location Address2402 WINNEBAGO STMadison, WI 53704-5341
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 242-6848
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 25, 2010
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedJuly 3, 2022
NPI 1144531096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 72582-20 Licensed in ME · EC101071 Licensed in IL · 036138346
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

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

Emily M Fontaine 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 ID9436380029
PECOS Enrollment IDI20200313000011
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 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.

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.
100 services100 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.
55 services54 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
21 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
14 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 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 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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Nurse Practitioner
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
Family Medicine
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 Emily Fontaine's NPI number?

The NPI number for Emily Fontaine is 1144531096. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Emily Fontaine located?

Emily Fontaine practices at 2402 Winnebago St, Madison, WI 53704. The listed phone number is (608) 242-6855.

What is Emily Fontaine's specialty?

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

Is Emily Fontaine enrolled in Medicare?

Yes. Emily Fontaine 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 Emily Fontaine accept?

Health plans from Group Health Cooperative-SCW list Emily Fontaine 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 Emily Fontaine affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Emily Fontaine was last updated on November 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.