DR. LEE ALAN MCFADDEN M.D.
NPI 1245398981
Orthopaedic Surgery in Beloit, WI

Q: What is Lee Mcfadden's NPI number?

The NPI number for Lee Mcfadden is 1245398981. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Lee Mcfadden's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Lee Mcfadden was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment

73.05/100

CMS Quality Rating

BELOIT CLINIC, 1905 E HUEBBE PARKWAY, BELOIT, WI 53511(608) 364-2230(608) 363-7394 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 15, 2019, Dec 30, 2015 (2 updates tracked since 2015).

On this page

About Dr. Lee Alan Mcfadden M.d. NPPES

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

DR. LEE ALAN MCFADDEN M.D. (NPI 1245398981) is an individual orthopaedic surgery provider in Beloit, Wisconsin, licensed in Wisconsin (70525-20) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1994).

NPPES Registry Identity

NPI1245398981

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. LEE ALAN MCFADDENCredential: M.D.

Location AddressBELOIT CLINIC, 1905 E HUEBBE PARKWAYBeloit, WI 53511-1842

Mailing AddressBeloit Health Systems Inc, 1905 E Huebbe ParkwayBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 363-7395

Phone(608) 364-2230

Fax(608) 363-7394

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1994

Enumeration DateDecember 5, 2006

Last NPPES UpdateFebruary 15, 20192 updates tracked since enumeration

✔ NPI 1245398981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in WI · 70525-20✔ Licensed in IL · 036-138188

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License DR.0043356 (CO), 036.138188 (IL), 70525-20 (WI), 036-138188 (IL)

BELOIT CLINIC, Beloit, WI 53511

Open in Google Maps ↗

Other Identifiers 1

Medicaid03613188IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean 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. Lee Alan Mcfadden 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 ID446491989

PECOS Enrollment IDI20150805007125, I20190403002228

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 Reassignment

Medicare enrollment records show Lee Mcfadden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beloit Health System, Inc

1.6 mi

Internal Medicine

1650 LEE LN
Beloit, WI 53511

Reassigned Medicare billing, Wisconsin and Illinois enrollments
Also billed through NPI 1841485984 (Illinois)
194 clinicians in this Medicare group

NPI 1912199340 (608) 364-4666

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 12

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.

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

162 services120 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.

140 services122 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.

124 services113 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

90 services73 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

75 services75 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

54 services51 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

51 services46 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

20 services20 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.

20 services20 patients

X-ray of both hips, 2 views 73521

An X-ray of both hips, 2 views, is an imaging test that uses a small amount of radiation to create detailed pictures of your hip joints. This procedure helps to detect fractures, infections, or other abnormalities in the hip area. Two different angles will be captured for a comprehensive assessment.

16 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520100

Location1969 W Hart RdBeloit, WI 53511 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

58.79

Promoting Interoperability

100

Improvement Activities

Cost

51.38

Referred Medical Equipment & Supplies CMS DME claims

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$45.26 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 20

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

CYNTHIA L PHILPOTT NP

Nurse Practitioner

BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-2400

JENNIFER S. CHO-ESCALANTE DO

Family Medicine

BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-2240

ROBERT JOHN DERBY NP

Nurse Practitioner

BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-1640

KRISTIN K. LIETZAU PA

Physician Assistant

BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-2230

DR. ROBERT R HARRIS M.D.

Obstetrics & Gynecology

BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-2220

DR. CYNTHIA L. PALABRICA M.D.

Obstetrics & Gynecology

BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-2200

DR. ZACHARY ADAM ZIMMERMAN M.D.

Otolaryngology

BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-2400

GRETCHEN R WITOWICH MS, RD, LDN

Dietitian, Registered

BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-2400

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 Lee Mcfadden's NPI number?

The NPI number for Lee Mcfadden is 1245398981. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Lee Mcfadden located?

Lee Mcfadden practices at Beloit Clinic 1905 E Huebbe Parkway, Beloit, WI 53511. The listed phone number is (608) 364-2230.

What is Lee Mcfadden's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lee Mcfadden enrolled in Medicare?

Yes. Lee Mcfadden 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 organization bills Medicare for Lee Mcfadden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Mcfadden reassigns Medicare benefits to Beloit Health System, Inc (Beloit, WI). The 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 Lee Mcfadden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Mcfadden accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Lee Mcfadden 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 Lee Mcfadden affiliated with any hospitals?

According to CMS data, Lee Mcfadden is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Lee Mcfadden was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.