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

Q: 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.

Q: 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.

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: October 18, 2026.

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

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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

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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, Dean Health Plan, Network Health 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

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Balistreri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dean Health Systems, Inc

0.4 mi

Allergy & Immunology

1211 FISH HATCHERY RD
Madison, WI 53715

Reassigned Medicare billing, Wisconsin enrollment
1,377 clinicians in this Medicare group

NPI 1053358846 (608) 252-8000

The Monroe Clinic, Inc.

33 mi

Specialist

515 22ND AVE
Monroe, WI 53566

Reassigned Medicare billing, Wisconsin enrollment
376 clinicians in this Medicare group

NPI 1386720548 (608) 324-2770

Agnesian Healthcare

39 mi

Mental Health (Including Community Mental Health Center)

200 FRONT ST, SUITE 3D
Beaver Dam, WI 53916

Reassigned Medicare billing, Wisconsin enrollment
606 clinicians in this Medicare group

NPI 1700817657 (920) 885-2780

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

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.

Which organizations bill Medicare for Michael Balistreri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Balistreri reassigns Medicare benefits to 3 organizations: Dean Health Systems, Inc (Madison, WI), The Monroe Clinic, Inc. (Monroe, WI) and Agnesian Healthcare (Beaver Dam, 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 Michael Balistreri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Balistreri accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.