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DR. KRISTIN MAUREEN EBERT MD
NPI 1275959199
Urology - Pediatric Urology in Madison, WI

Active since March 16, 2014PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1675 HIGHLAND AVE, MADISON, WI 53792(608) 263-6420(608) 890-9745 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2024, Nov 7, 2023, Dec 20, 2021 and 3 more (6 updates tracked since 2020).

About Dr. Kristin Maureen Ebert Md NPPES

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

DR. KRISTIN MAUREEN EBERT MD (NPI 1275959199) is an individual pediatric urology provider in Madison, Wisconsin, licensed in Wisconsin (75861) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1275959199
Entity TypeIndividualFemale
Primary Taxonomy2088P0231X
Provider Legal NameDR. KRISTIN MAUREEN EBERTCredential: MD
Location Address1675 HIGHLAND AVEMadison, WI 53792-5703
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-6420
Fax(608) 890-9745
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 16, 2014
Last NPPES UpdateOctober 21, 20246 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1275959199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in WI · 75861
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License 75861 (WI)
1675 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

Other Names 1

Former Name (1)Kristin Maureen Fraleigh

Other Identifiers 3

Medicaid100182252WI
OtherH695240OH · Medicare-cgs
Medicaid0395567OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource 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. Kristin Maureen Ebert Md 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 ID6406146984
PECOS Enrollment IDI20211028001176
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

6

Medicare enrollment records show Kristin Ebert reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Wisconsin Medical Foundation, Inc
4.8 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
Gundersen Lutheran Medical Center Inc
69 mi
Clinic/Center
13500 WATERTOWN PLANK RD STE 206
Elm Grove, WI 53122
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
NPI 1548992316 (608) 782-7300
Aurora Medical Group, Inc.
72 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Mchs Hospitals Inc
92 mi
Clinic/Center
440 24TH ST S
Wisconsin Rapids, WI 54494
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1568188589 (715) 751-6200
Marshfield Clinic Inc
116 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Children's Surgical Associates, Corporation
398 mi
Pediatric Surgery
700 CHILDREN'S DRIVE
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 211 clinicians in this Medicare group
NPI 1417905324 (614) 722-2000

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

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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.

ERIN VAN SAMBEEK ERNST RN IBCLC
Registered Nurse (Lactation Consultant)
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 890-8227
CAROLINE NAKAMURA SLP
Speech-Language Pathologist
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 915-0650
CASSIDY LYNN BENDER RN
Registered Nurse
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-7337
DR. ANNE M MARSH M.D.
Pediatrics (Pediatric Hematology-Oncology)
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-9540
TALAL AL HENDAWI MD
Student in an Organized Health Care Education/Training Program
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 890-7221
AMANDA MARIE FABRY OTR, OTD
Occupational Therapist
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 890-5437
EMILY ANN ELDER PHARMD, MPH
Pharmacist (Pediatrics)
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-7337
TODD ROBERT SHELDON M.A.
Audiologist
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (082) 623-1476

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 Kristin Ebert's NPI number?

The NPI number for Kristin Ebert is 1275959199. It was assigned to this individual provider in the NPPES registry on March 16, 2014. The provider is also known as Kristin Maureen Fraleigh.

Where is Kristin Ebert located?

Kristin Ebert practices at 1675 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6420.

What is Kristin Ebert's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Kristin Ebert enrolled in Medicare?

Yes. Kristin Ebert 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 Kristin Ebert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Ebert reassigns Medicare benefits to 6 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI), Gundersen Lutheran Medical Center Inc (Elm Grove, WI), Aurora Medical Group, Inc. (West Allis, WI), Mchs Hospitals Inc (Wisconsin Rapids, WI), Marshfield Clinic Inc (Marshfield, WI) and 1 more organization, listed in the Medicare section above. 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 Kristin Ebert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Ebert accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource, CareSource (Common Ground Healthcare) and Dean Health Plan and 5 other insurers list Kristin Ebert 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.

When was this NPI record last updated?

The NPPES record for Kristin Ebert was last updated on October 21, 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.