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DR. JONATHAN ALLAN STEFELY MD, PHD
NPI 1265992192
Pathology - Blood Banking & Transfusion Medicine in Madison, WI

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-8443 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2026, Oct 1, 2022 (2 updates tracked since 2022).

About Dr. Jonathan Allan Stefely Md, Phd NPPES

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

DR. JONATHAN ALLAN STEFELY MD, PHD (NPI 1265992192) is an individual blood banking & transfusion medicine provider in Madison, Wisconsin, licensed in Wisconsin (87418) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1265992192
Entity TypeIndividualMale
Primary Taxonomy207ZB0001X
Provider Legal NameDR. JONATHAN ALLAN STEFELYCredential: MD, PHD
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-8443
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1265992192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Blood Banking & Transfusion MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZB0001X
Licenses✔ Licensed in WI · 87418✔ Licensed in MA · 292153
Definition
A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
600 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2696 · Phone (617) 726-2000 · Fax (617) 724-3947

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.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. Jonathan Allan Stefely Md, Phd 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 ID2466781679
PECOS Enrollment IDI20230110002046
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

4

Medicare enrollment records show Jonathan Stefely reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Wisconsin Medical Foundation, Inc
5.0 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485
Brigham & Womens Physicians Organization Inc
932 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500
Massachusetts General Physicians Organization Inc
934 mi
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287
The General Hospital Corporation
934 mi
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000

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

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.

Blood bank physician services for cross match and/or evaluation and written report 86077
Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

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 Jonathan Stefely's NPI number?

The NPI number for Jonathan Stefely is 1265992192. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Jonathan Stefely located?

Jonathan Stefely practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-8443.

What is Jonathan Stefely's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Blood Banking & Transfusion Medicine, with taxonomy code 207ZB0001X.

Is Jonathan Stefely enrolled in Medicare?

Yes. Jonathan Stefely 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 Jonathan Stefely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Stefely reassigns Medicare benefits to 4 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI), Brigham & Womens Physicians Organization Inc (Boston, MA), Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). 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 Jonathan Stefely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Stefely accept?

Health plans from Group Health Cooperative-SCW list Jonathan Stefely 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 Jonathan Stefely affiliated with any hospitals?

According to CMS data, Jonathan Stefely is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Stefely was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.