TOSHA B WETTERNECK MD
NPI 1154397222
Hospitalist in Madison, WI

Q: What is Tosha Wetterneck's NPI number?

The NPI number for Tosha Wetterneck is 1154397222. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Tosha Wetterneck's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Tosha Wetterneck was last updated on January 14, 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.

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment

600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6421(608) 263-8825 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2021, Jan 19, 2018 (2 updates tracked since 2018).

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About Tosha B Wetterneck Md NPPES

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

TOSHA B WETTERNECK MD (NPI 1154397222) is an individual hospitalist provider in Madison, Wisconsin, licensed in Wisconsin (38143) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Medical College Of Wisconsin (1995).

NPPES Registry Identity

NPI1154397222

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameTOSHA B WETTERNECKCredential: MD

Location Address600 HIGHLAND AVEMadison, WI 53792-0001

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 263-6421

Fax(608) 263-8825

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 1995

Enumeration DateFebruary 27, 2006

Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2021

✔ NPI 1154397222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 38143

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 38143 (WI)

600 HIGHLAND AVE, Madison, WI 53792

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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

Tosha B Wetterneck 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 ID4385779446

PECOS Enrollment IDI20100316000174

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 5

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.

60 services19 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.

32 services32 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

13 services12 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.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521343

Location900 Ridge StStoughton, WI 53589 · Dane County

Emergency services

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.

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.

JASON ALAN CHRISTENSEN PHARMD

Pharmacist

600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792

Dane County (608) 662-0817

LAURA JEAN KOPPLIN MD, PHD

Ophthalmology