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DAYTON M OPEL MD
NPI 1154664100
Orthopaedic Surgery - Hand Surgery in Platteville, WI

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
99.3/100
CMS Quality Rating
1400 EASTSIDE RD, PLATTEVILLE, WI 53818(608) 348-2331 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Jun 6, 2023, Nov 18, 2022 and 4 more (7 updates tracked since 2018).

About Dayton M Opel Md NPPES

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

DAYTON M OPEL MD (NPI 1154664100) is an individual hand surgery provider in Platteville, Wisconsin, licensed in Wisconsin (69931-20) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Midwest Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2013).

NPPES Registry Identity

NPI1154664100
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDAYTON M OPELCredential: MD
Location Address1400 EASTSIDE RDPlatteville, WI 53818-9800
Mailing Address1400 Eastside RdPlatteville, WI 53818-9800 · (608) 348-2331
Phone(608) 348-2331
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2013
Enumeration DateMarch 28, 2013
Last NPPES UpdateOctober 6, 20257 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1154664100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in WI · 69931-20
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
1400 EASTSIDE RD, Platteville, WI 53818
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and more.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

Dayton M Opel 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 ID3870879885
PECOS Enrollment IDI20190905001313
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 3

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
78 services16 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.
25 services22 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Midwest Medical Center

Critical Access Hospitals · Galena, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141302
Location1 Medical Center DriveGalena, IL 61036 · Jo Daviess County
Emergency services

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53818 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
$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.

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.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.74
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%167 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
88%165 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. EKATERINA FEDOROVA MD
Surgery
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-2331
ASHLEY NICOLE DIXON LCSW
Social Worker (Clinical)
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-3656
SOUTHWEST HEALTH CENTER
Pharmacy (Long Term Care Pharmacy)
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-2331
SAMANTHA ALBRIGTSON
Occupational Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 342-5071
KATE M FREIBURGER OTD
Occupational Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-2331
MEGAN ROSE SHERIFF PT, DPT
Physical Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-2331
SOUTHWEST HEALTH CENTER
Non-Pharmacy Dispensing Site
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-2331
DR. LUCAS BENJAMIN WILSON DPT
Physical Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (563) 581-1717

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 Dayton Opel's NPI number?

The NPI number for Dayton Opel is 1154664100. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Dayton Opel located?

Dayton Opel practices at 1400 Eastside Rd, Platteville, WI 53818. The listed phone number is (608) 348-2331.

What is Dayton Opel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Dayton Opel enrolled in Medicare?

Yes. Dayton Opel 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 Dayton Opel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, Quartz and Sanford Health Plan and 1 other insurer list Dayton Opel 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 Dayton Opel affiliated with any hospitals?

According to CMS data, Dayton Opel is affiliated with Midwest Medical Center and Southwest Health Center.

When was this NPI record last updated?

The NPPES record for Dayton Opel was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.