DR. THOMAS R WALLHAUS MD
NPI 1215900022
Internal Medicine - Cardiovascular Disease in Madison, WI

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
2601 W BELTLINE HWY STE 200, MADISON, WI 53713(608) 287-2434 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2023, Jan 19, 2021, Jul 3, 2018 (3 updates tracked since 2018).

About Dr. Thomas R Wallhaus Md NPPES

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

DR. THOMAS R WALLHAUS MD (NPI 1215900022) is an individual cardiovascular disease provider in Madison, Wisconsin, licensed in Wisconsin (32393-20) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Southern Illinois University School Of Medicine (1990).

NPPES Registry Identity

NPI1215900022
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. THOMAS R WALLHAUSCredential: MD
Location Address2601 W BELTLINE HWY STE 200Madison, WI 53713-2319
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1990
Enumeration DateFebruary 10, 2006
Last NPPES UpdateAugust 3, 20233 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
NPI 1215900022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in WI · 32393-20
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2601 W BELTLINE HWY STE 200, Madison, WI 53713

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

Dr. Thomas R Wallhaus 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 ID9335030006
PECOS Enrollment IDI20040323000661
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 21

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
205 services163 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.
147 services139 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
86 services86 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
59 services59 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.
59 services58 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
48 services48 patients

Hospital Affiliations CMS Care Compare 5

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

Sauk Prairie Hospital

Acute Care Hospitals · Prairie Du Sac, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520095
Location260 26th StreetPrairie Du Sac, WI 53578 · Sauk 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

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI
OwnershipProprietary
CMS Certification Number520109
Location1050 Division StMauston, WI 53948 · Juneau County
Emergency services Birthing friendly

Richland Hospital

Critical Access Hospitals · Richland Center, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521341
Location333 E Second StRichland Center, WI 53581 · Richland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53713 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 7

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

Internal Medicine (Cardiovascular Disease)
2601 W BELTLINE HWY STE 200
MADISON, WI 53713
Internal Medicine (Cardiovascular Disease)
2601 W BELTLINE HWY STE 200
MADISON, WI 53713
Internal Medicine (Cardiovascular Disease)
2601 W BELTLINE HWY STE 200
MADISON, WI 53713
Nurse Practitioner
2601 W BELTLINE HWY STE 200
MADISON, WI 53713
Nurse Practitioner
2601 W BELTLINE HWY STE 200
MADISON, WI 53713
Internal Medicine (Clinical Cardiac Electrophysiology)
2601 W BELTLINE HWY STE 200
MADISON, WI 53713
Internal Medicine (Cardiovascular Disease)
2601 W BELTLINE HWY STE 200
MADISON, WI 53713

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 Thomas Wallhaus's NPI number?

The NPI number for Thomas Wallhaus is 1215900022. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Thomas Wallhaus located?

Thomas Wallhaus practices at 2601 W Beltline Hwy Ste 200, Madison, WI 53713. The listed phone number is (608) 287-2434.

What is Thomas Wallhaus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Wallhaus enrolled in Medicare?

Yes. Thomas Wallhaus 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 Thomas Wallhaus accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Thomas Wallhaus 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 Thomas Wallhaus affiliated with any hospitals?

According to CMS data, Thomas Wallhaus is affiliated with Unitypoint Health - Meriter, Sauk Prairie Hospital, University Of Wi Hospitals & Clinics Authority, Mile Bluff Medical Center and Richland Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Wallhaus was last updated on August 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.