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MICHAEL BALISTRERI M.D.
NPI 1225353055
Obstetrics & Gynecology - Maternal & Fetal Medicine in Madison, WI

Active since April 05, 2010PECOS EnrolledAccepts Medicare Assignment
700 S PARK ST, MADISON, WI 53715(608) 251-6100(608) 258-6772 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 28, 2020, Mar 14, 2018 (2 updates tracked since 2018).

About Michael Balistreri M.d. NPPES

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

MICHAEL BALISTRERI M.D. (NPI 1225353055) is an individual maternal & fetal medicine provider in Madison, Wisconsin, licensed in Wisconsin (56561-20) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225353055
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameMICHAEL BALISTRERICredential: M.D.
Location Address700 S PARK STMadison, WI 53715-1830
Mailing Address700 S Park StMadison, WI 53715-1830 · (608) 251-6100 · Fax (608) 258-6772
Phone(608) 251-6100
Fax(608) 258-6772
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 5, 2010
Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
✔ NPI 1225353055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in WI · 56561-20
Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 56561 (WI)
700 S PARK ST, Madison, WI 53715
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1700 S Park StMadison, WI 53715-1830 · Phone (608) 251-6100
Location 22009 5th StMonroe, WI 53566-1546 · Phone (608) 324-2000

Other Identifiers 1

Medicaid1225353055WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Quartz.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

Michael Balistreri 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 ID3274765508
PECOS Enrollment IDI20170929000702
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.

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

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
$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 20

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

CHRISTOPHER DO
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JEREMI THOMAS OLSON PA-C
Physician Assistant (Surgical)
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
TIMOTHY J MORTON PA-C
Physician Assistant
700 S PARK ST, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 251-6100
STEPHEN H VANDER SLUIS
Anesthesiology
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
BENJAMIN KLEIBER M.D.
Internal Medicine (Cardiovascular Disease)
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
ERIN M MULLAN-TOWNS PA-C
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 260-2900
CONNIE SUE MCCULLICK APNP
Nurse Practitioner
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JUSTIN ALLEN LEHRKE CRNA
Nurse Anesthetist, Certified Registered
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100

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 Michael Balistreri's NPI number?

The NPI number for Michael Balistreri is 1225353055. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Michael Balistreri located?

Michael Balistreri practices at 700 S Park St, Madison, WI 53715. The listed phone number is (608) 251-6100.

What is Michael Balistreri's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Michael Balistreri enrolled in Medicare?

Yes. Michael Balistreri 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 Michael Balistreri accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Quartz list Michael Balistreri 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 Michael Balistreri affiliated with any hospitals?

According to CMS data, Michael Balistreri is affiliated with Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Michael Balistreri was last updated on February 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.