ANDREA MARTONFFY MD
NPI 1174630784
Family Medicine in Madison, WI

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
1102 S PARK ST, MADISON, WI 53715(608) 263-3111(608) 263-6663 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Martonffy Md NPPES

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

ANDREA MARTONFFY MD (NPI 1174630784) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (WI46212020) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2002).

NPPES Registry Identity

NPI1174630784
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANDREA MARTONFFYCredential: MD
Location Address1102 S PARK STMadison, WI 53715-1708
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 263-6663
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2002
Enumeration DateAugust 23, 2006
Last NPPES UpdateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
NPI 1174630784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · WI46212020
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.
1102 S PARK ST, Madison, WI 53715

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

Andrea Martonffy 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 ID1254357437
PECOS Enrollment IDI20051017001028
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

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.

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.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

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 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier14 claims14 services$12.37 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.33 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier17 claims17 services$32.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1102 S PARK ST
MADISON, WI 53715
Nurse Practitioner (Psychiatric/Mental Health)
1102 S PARK ST
MADISON, WI 53715
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Counselor (Professional)
1102 S PARK ST
MADISON, WI 53715
Psychiatry & Neurology (Psychiatry)
1102 S PARK ST
MADISON, WI 53715
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Family Medicine
1102 S PARK ST
MADISON, WI 53715

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 Andrea Martonffy's NPI number?

The NPI number for Andrea Martonffy is 1174630784. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Andrea Martonffy located?

Andrea Martonffy practices at 1102 S Park St, Madison, WI 53715. The listed phone number is (608) 263-3111.

What is Andrea Martonffy's specialty?

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

Is Andrea Martonffy enrolled in Medicare?

Yes. Andrea Martonffy 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 Andrea Martonffy accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz and Security Health Plan list Andrea Martonffy 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 Andrea Martonffy affiliated with any hospitals?

According to CMS data, Andrea Martonffy is affiliated with Ssm Health St Mary's Hospital - Madison, Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Andrea Martonffy was last updated on January 5, 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.