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MICHAEL J. FOLEY M.D.
NPI 1174505705
Emergency Medicine in Madison, WI

Active since November 18, 2005PECOS Enrolled
99.3/100
CMS Quality Rating
600 HIGHLAND AVE, MADISON, WI 53792(608) 262-2398(608) 262-9999 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael J. Foley M.d. NPPES

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

MICHAEL J. FOLEY M.D. (NPI 1174505705) is an individual emergency medicine provider in Madison, Wisconsin, licensed in Wisconsin (41757) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fond Du Lac.

NPPES Registry Identity

NPI1174505705
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL J. FOLEYCredential: M.D.
Location Address600 HIGHLAND AVEMadison, WI 53792
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5485
Phone(608) 262-2398
Fax(608) 262-9999
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1174505705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 41757
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
600 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

Secondary Practice Location 1

Location 1430 E Division StFond Du Lac, WI 54935-4560 · Phone (920) 926-4600 · Fax (920) 926-4875

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J. Foley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Foley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Madison Emergency Physicians, Sc
2.1 mi
Emergency Medicine
700 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 103 clinicians in this Medicare group
NPI 1588646095 (608) 258-6100
Prairie Ridge Health, Inc.
26 mi
Critical Access
1515 PARK AVE
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • 132 clinicians in this Medicare group
NPI 1841376183 (920) 623-2200
Upland Hills Health, Inc.
36 mi
Critical Access
800 COMPASSION WAY
Dodgeville, WI 53533
  • Reassigned Medicare billing, Wisconsin enrollment
  • 130 clinicians in this Medicare group
NPI 1487745501 (608) 930-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$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.

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

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
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

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 Michael Foley's NPI number?

The NPI number for Michael Foley is 1174505705. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Michael Foley located?

Michael Foley practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 262-2398.

What is Michael Foley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Foley enrolled in Medicare?

Yes. Michael Foley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Foley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Foley reassigns Medicare benefits to 3 organizations: Madison Emergency Physicians, Sc (Madison, WI), Prairie Ridge Health, Inc. (Columbus, WI) and Upland Hills Health, Inc. (Dodgeville, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Foley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Foley was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.