1. Home
  2. Directory
  3. Wisconsin
  4. Madison
  5. Family Medicine
  6. NPI Profile

ALAN I SCHWARTZSTEIN MD
NPI 1326092669
Family Medicine in Madison, WI

Active since May 20, 2006PECOS Enrolled
1313 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 283-7160 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2020, Dec 15, 2017 (2 updates tracked since 2017).

About Alan I Schwartzstein Md NPPES

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

ALAN I SCHWARTZSTEIN MD (NPI 1326092669) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (28983-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1326092669
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALAN I SCHWARTZSTEINCredential: MD
Location Address1313 FISH HATCHERY RDMadison, WI 53715-1911
Mailing Address1313 Fish Hatchery RdMadison, WI 53715-1911 · (608) 252-8000 · Fax (608) 283-7160
Phone(608) 252-8000
Fax(608) 283-7160
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateDecember 23, 20202 updates tracked since enumeration
NPPES CertifiedDecember 23, 2020
✔ NPI 1326092669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 28983-020
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1313 FISH HATCHERY RD, Madison, WI 53715
Open in Google Maps ↗

Secondary Practice Location 1

Location 11313 Fish Hatchery Rd, Dean ClinicMadison, WI 53715-1911 · Phone (608) 252-8000 · Fax (608) 252-8245

Other Identifiers 1

Medicaid1326092669WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan I Schwartzstein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.
11 services11 patients

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
$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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
6%72 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
88%109 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%129 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
64%44 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BRIAN J APEL
Pharmacist
1313 FISH HATCHERY RD, SUITE 300
MADISON, WI 53715
Dane County (608) 252-8044
ANN HERROLD-PETERSON LCSW
Social Worker (Clinical)
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 252-8000
MRS. JAN LOUISE BASOM SCHUBERT MA
Social Worker (Clinical)
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
ERIC HUCKINS PHARMD
Pharmacist
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 294-3784
JOAN V. BROWN PA-C
Physician Assistant
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
RUSSELL G ROHRDANZ AUD
Audiologist
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 252-8000
LINDA WILHELMI LCSW
Social Worker (Clinical)
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 252-8000
PAUL M REBER DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000

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 Alan Schwartzstein's NPI number?

The NPI number for Alan Schwartzstein is 1326092669. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Alan Schwartzstein located?

Alan Schwartzstein practices at 1313 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is Alan Schwartzstein's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alan Schwartzstein enrolled in Medicare?

Yes. Alan Schwartzstein is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alan Schwartzstein was last updated on December 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.