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PAUL HENRY HUNTER MD
NPI 1154411486
Family Medicine in Madison, WI

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
1100 DELAPLAINE CT, MADISON, WI 53715(608) 241-9020 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2024, Jan 22, 2021 (2 updates tracked since 2021).

About Paul Henry Hunter Md NPPES

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

PAUL HENRY HUNTER MD (NPI 1154411486) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (31560-20) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1154411486
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL HENRY HUNTERCredential: MD
Location Address1100 DELAPLAINE CTMadison, WI 53715-1840
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 241-9020
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1989
Enumeration DateOctober 16, 2006
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1154411486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 31560-20
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.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 31560 (WI)
1100 DELAPLAINE CT, Madison, WI 53715
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Secondary Practice Location 1

Location 1841 N Broadway Rm 315Milwaukee, WI 53202-3613 · Phone (414) 286-3521

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Henry Hunter 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 ID4880637495
PECOS Enrollment IDI20050606000241
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services63 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.
36 services35 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.
28 services26 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.
13 services13 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
$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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA PASQUAN NP
Nurse Practitioner
1100 DELAPLAINE CT
MADISON, WI 53715
Dane County (608) 241-9020
SHANNON CARYN REED D.O.
Family Medicine
1100 DELAPLAINE CT
MADISON, WI 53715
Dane County (608) 241-9020

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 Paul Hunter's NPI number?

The NPI number for Paul Hunter is 1154411486. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Paul Hunter located?

Paul Hunter practices at 1100 Delaplaine Ct, Madison, WI 53715. The listed phone number is (608) 241-9020.

What is Paul Hunter's specialty?

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

Is Paul Hunter enrolled in Medicare?

Yes. Paul Hunter 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 Paul Hunter accept?

Health plans from Group Health Cooperative-SCW list Paul Hunter 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 Paul Hunter affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Paul Hunter was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.