DAVID O FRANCIS MD MS
NPI 1154430072
Otolaryngology in Madison, WI

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6190 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2021, Jul 11, 2019, Dec 15, 2017 (3 updates tracked since 2017).

About David O Francis Md Ms NPPES

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

DAVID O FRANCIS MD MS (NPI 1154430072) is an individual otolaryngology provider in Madison, Wisconsin, licensed in Wisconsin (67629-20) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2004).

NPPES Registry Identity

NPI1154430072
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDAVID O FRANCISCredential: MD MS
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2004
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 26, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
NPI 1154430072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WI · 67629-20
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

600 HIGHLAND AVE, 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

David O Francis Md Ms 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 ID6204960602
PECOS Enrollment IDI20170801002541
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.

Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
88 services57 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.
64 services56 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.
39 services39 patients
Removal of growth of tongue and/or stripping of vocal cord using an endoscope with operating microscope or telescope 31541
This procedure involves using a small, flexible tube with a camera (endoscope) to view and remove a growth on the tongue or strip the vocal cords. An operating microscope or telescope may be used to enhance visibility. It's a safe, effective way to treat these conditions.
20 services14 patients
Injection into vocal cords using an endoscope with operating microscope or telescope 31571
This procedure involves using a thin, flexible tube called an endoscope along with a special microscope or telescope. The endoscope is carefully inserted into your throat to reach your vocal cords. Then, a precise injection is made into the vocal cords to treat various conditions.
19 services13 patients
Injection of substance to augment voice box using an endoscope 31574
This procedure involves using a thin, flexible tool called an endoscope to inject a substance into your voice box, or larynx. The substance helps to enhance the function of the voice box, improving your ability to speak. It's a safe, common procedure to help with voice issues.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

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 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Radiation Oncology)
600 HIGHLAND 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 David Francis's NPI number?

The NPI number for David Francis is 1154430072. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is David Francis located?

David Francis practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6190.

What is David Francis's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is David Francis enrolled in Medicare?

Yes. David Francis 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 David Francis 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 David Francis 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 David Francis affiliated with any hospitals?

According to CMS data, David Francis is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for David Francis was last updated on January 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.