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DR. KENNETH PATRICK L LIGARAY M.D.
NPI 1215139951
Internal Medicine - Endocrinology, Diabetes & Metabolism in Madison, WI

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment
345 W WASHINGTON AVE, MADISON, WI 53703(608) 417-8300(608) 417-8301 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kenneth Patrick L Ligaray M.d. NPPES

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

DR. KENNETH PATRICK L LIGARAY M.D. (NPI 1215139951) is an individual endocrinology, diabetes & metabolism provider in Madison, Wisconsin, licensed in Wisconsin (64266) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1215139951
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KENNETH PATRICK L LIGARAYCredential: M.D.
Location Address345 W WASHINGTON AVEMadison, WI 53703-2996
Mailing Address202 S Park StMadison, WI 53715-1507 · (608) 417-6000
Phone(608) 417-8300
Fax(608) 417-8301
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 21, 2015
✔ NPI 1215139951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in WI · 64266✔ Licensed in AL · 27817✔ Licensed in MD · D70299
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
345 W WASHINGTON AVE, Madison, WI 53703
Open in Google Maps ↗

Other Identifiers 6

OtherZ08404Viva And Vivam
Other51006036AL · Bcbs
Medicaid051559283AL
Medicare PIN051559283AL
Medicare PINP00456471
Other636005396005Humana Gold Choice Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Patrick L Ligaray 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.

PECOS PAC ID5092808683
PECOS Enrollment IDI20150706002660
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

2

Medicare enrollment records show Kenneth Patrick Ligaray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meriter Hospital, Inc.
0.8 mi
Psychiatric Unit
202 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 164 clinicians in this Medicare group
NPI 1548280225 (608) 417-6000
University Of Wisconsin Medical Foundation, Inc
7.1 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

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

Areas of Expertise CMS Part B claims 5

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.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
184 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
170 services104 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.
153 services135 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

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 53703 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers18 claims212 services$18.28 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers19 claims550 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
33 suppliers85 claims314 services$5.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers36 claims66 services$0.84 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers21 claims1,970 services$6.78 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers307 claims310 services$183.91 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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENA M VANKIRK RD
Dietitian, Registered
345 W WASHINGTON AVE
MADISON, WI 53703
Dane County (608) 417-8300
PIER MAXWELL KEMNITZER APNP
Nurse Practitioner
345 W WASHINGTON AVE
MADISON, WI 53703
Dane County (608) 417-8300
ABIGAIL LIEDL APSW
Social Worker
345 W WASHINGTON AVE
MADISON, WI 53703
Dane County (608) 280-2095
HOLLY L. GERHARD RD
Dietitian, Registered
345 W WASHINGTON AVE, SUITE 100
MADISON, WI 53703
Dane County (608) 417-8300
TERRYANN CHRUDIMSKY LDN
Dietitian, Registered
345 W WASHINGTON AVE
MADISON, WI 53703
Dane County (608) 417-8300
CARLEEN L HANSON MD
Pediatrics
345 W WASHINGTON AVE, SUITE 100
MADISON, WI 53703
Dane County (608) 417-8300
HURST CANDID WISCONSIN, SERVICE CORPORATION
Dentist (Orthodontics and Dentofacial Orthopedics)
345 W WASHINGTON AVE
MADISON, WI 53703
Dane County (860) 481-7631
JULIA ELIZABETH MCMURRAY MD
Internal Medicine
345 W WASHINGTON AVE, MERITER MEDICAL CLINIC
MADISON, WI 53703
Dane County (608) 417-8300

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 Kenneth Patrick Ligaray's NPI number?

The NPI number for Kenneth Patrick Ligaray is 1215139951. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Kenneth Patrick Ligaray located?

Kenneth Patrick Ligaray practices at 345 W Washington Ave, Madison, WI 53703. The listed phone number is (608) 417-8300.

What is Kenneth Patrick Ligaray's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kenneth Patrick Ligaray enrolled in Medicare?

Yes. Kenneth Patrick Ligaray 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.

Which organizations bill Medicare for Kenneth Patrick Ligaray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Patrick Ligaray reassigns Medicare benefits to 2 organizations: Meriter Hospital, Inc. (Madison, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, 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 Kenneth Patrick Ligaray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Patrick Ligaray accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz list Kenneth Patrick Ligaray 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 Kenneth Patrick Ligaray affiliated with any hospitals?

According to CMS data, Kenneth Patrick Ligaray is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Kenneth Patrick Ligaray was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.