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RACHEL LILLIAN PETRO MD
NPI 1205255163
Hospitalist in Madison, WI

Active since April 08, 2014PECOS Enrolled
600 HIGHLAND AVE, MADISON, WI 53792(608) 890-9600(608) 890-7181 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2021, Feb 3, 2021, Nov 5, 2018 and 5 more (8 updates tracked since 2017).

About Rachel Lillian Petro Md NPPES

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

RACHEL LILLIAN PETRO MD (NPI 1205255163) is an individual hospitalist provider in Madison, Wisconsin, licensed in Wisconsin (65208-20) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205255163
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameRACHEL LILLIAN PETROCredential: MD
Location Address600 HIGHLAND AVEMadison, WI 53792-3732
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 890-9600
Fax(608) 890-7181
Sole ProprietorNo
Enumeration DateApril 8, 2014
Last NPPES UpdateOctober 6, 20218 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
✔ NPI 1205255163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 65208-20
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License 65208-20 (WI)
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 65208-20 (WI)
600 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14122 E Towne BlvdMadison, WI 53704-3732 · Phone (608) 242-6855 · Fax (608) 242-6848
Location 2202 S Park StMadison, WI 53715-1507 · Phone (608) 417-6236 · Fax (608) 417-6377

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Lillian Petro Md 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 Rachel Petro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Wisconsin Medical Foundation, Inc
4.8 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485
Mercy Health System Corporation
34 mi
General Acute Care Hospital
1000 MINERAL POINT AVE
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
NPI 1093768962 (608) 756-6000
Watertown Physician Practices LLC
38 mi
Family Medicine
1507 DOCTORS CT
Watertown, WI 53094
  • Reassigned Medicare billing, Wisconsin enrollment
  • 215 clinicians in this Medicare group
NPI 1770964363 (920) 261-4111

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
$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
$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.

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 Rachel Petro's NPI number?

The NPI number for Rachel Petro is 1205255163. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Rachel Petro located?

Rachel Petro practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 890-9600.

What is Rachel Petro's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Rachel Petro enrolled in Medicare?

Yes. Rachel Petro is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rachel Petro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Petro reassigns Medicare benefits to 3 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI), Mercy Health System Corporation (Janesville, WI) and Watertown Physician Practices LLC (Watertown, 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 Rachel Petro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Petro accept?

Health plans from Group Health Cooperative-SCW list Rachel Petro 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.

When was this NPI record last updated?

The NPPES record for Rachel Petro was last updated on October 6, 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.