ERIKA J MIKULEC M.D.
NPI 1205195542
Obstetrics & Gynecology in Madison, WI
About Erika J Mikulec M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIKA J MIKULEC M.D. (NPI 1205195542) is an individual obstetrics & gynecology provider in Madison, Wisconsin, licensed in Wisconsin (61768-20) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Other Identifiers 1
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
Erika J Mikulec M.d. 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.
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.
Hospital Affiliations CMS Care Compare
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, WIPhysician 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.
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.
Reported Quality Measures
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.
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 Erika Mikulec's NPI number?
The NPI number for Erika Mikulec is 1205195542. It was assigned to this individual provider in the NPPES registry on May 7, 2012.
Where is Erika Mikulec located?
Erika Mikulec practices at 1211 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.
What is Erika Mikulec's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Erika Mikulec enrolled in Medicare?
Yes. Erika Mikulec 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 Erika Mikulec accept?
Health plans from Anthem Blue Cross and Blue Shield list Erika Mikulec 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 Erika Mikulec affiliated with any hospitals?
According to CMS data, Erika Mikulec is affiliated with Ssm Health St Mary's Hospital - Madison.
When was this NPI record last updated?
The NPPES record for Erika Mikulec was last updated on May 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
