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DR. NATHANIEL M WILSON M.D.
NPI 1245693670
Orthopaedic Surgery in Madison, WI

Active since April 02, 2016PECOS EnrolledAccepts Medicare Assignment
1211 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 288-6490 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2023, Jul 28, 2021, Jun 18, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Nathaniel M Wilson M.d. NPPES

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

DR. NATHANIEL M WILSON M.D. (NPI 1245693670) is an individual orthopaedic surgery provider in Madison, Wisconsin, licensed in Wisconsin (67905) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2016).

NPPES Registry Identity

NPI1245693670
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. NATHANIEL M WILSONCredential: M.D.
Location Address1211 FISH HATCHERY RDMadison, WI 53715-1909
Mailing Address1211 Fish Hatchery RdMadison, WI 53715-1909 · (608) 252-8000 · Fax (608) 288-6490
Phone(608) 252-8000
Fax(608) 288-6490
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2016
Enumeration DateApril 2, 2016
Last NPPES UpdateMarch 12, 20246 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
✔ NPI 1245693670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WI · 67905
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.
1211 FISH HATCHERY RD, Madison, WI 53715
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Nathaniel M Wilson 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 ID2466745005
PECOS Enrollment IDI20240325002971
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

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.

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 services43 patients

Hospital Affiliations CMS Care Compare 2

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac 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
$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.

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.

CHANDLER K REINHOLTZ PT
Physical Therapist
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
CATHERINE GITTER
Registered Nurse (Ambulatory Care)
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-7757
KATHERINE F MORIARTY MD
Pediatrics
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
JASON S ISENBERG M.D.
Otolaryngology
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
NOLA LYNN ENDRES RD
Dietitian, Registered
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
DEAN HEALTH SYSTEMS, INC
Allergy & Immunology
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
CASSIE J KOLSTAD PA-C
Physician Assistant
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
KARMA LEA FAFENDYK
Pharmacist
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8020

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 Nathaniel Wilson's NPI number?

The NPI number for Nathaniel Wilson is 1245693670. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is Nathaniel Wilson located?

Nathaniel Wilson practices at 1211 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is Nathaniel Wilson's specialty?

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

Is Nathaniel Wilson enrolled in Medicare?

Yes. Nathaniel Wilson 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 Nathaniel Wilson accept?

Health plans from CareSource list Nathaniel Wilson 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 Nathaniel Wilson affiliated with any hospitals?

According to CMS data, Nathaniel Wilson is affiliated with Ssm Health St Mary's Hospital - Madison and St. Agnes Hospital Hospice.

When was this NPI record last updated?

The NPPES record for Nathaniel Wilson was last updated on March 12, 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.