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TERRENCE JOHN NORTON M.D.
NPI 1336207588
Psychiatry & Neurology - Psychiatry in Platteville, WI

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
1450 EASTSIDE RD, PLATTEVILLE, WI 53818(608) 342-3019(608) 342-3025 Get Directions Write a Review

NPPES record last updated: November 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terrence John Norton M.d. NPPES

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

TERRENCE JOHN NORTON M.D. (NPI 1336207588) is an individual psychiatry provider in Platteville, Wisconsin, licensed in Wisconsin (44639) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Southwest Health Center, and maintains a secondary practice location in Platteville.

NPPES Registry Identity

NPI1336207588
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTERRENCE JOHN NORTONCredential: M.D.
Location Address1450 EASTSIDE RDPlatteville, WI 53818-9800
Mailing Address1450 Eastside RdPlatteville, WI 53818-9800 · (608) 342-3019 · Fax (608) 342-3025
Phone(608) 342-3019
Fax(608) 342-3025
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1996
Enumeration DateDecember 4, 2006
Last NPPES UpdateNovember 27, 2020
NPPES CertifiedNovember 27, 2020
✔ NPI 1336207588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 44639
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1450 EASTSIDE RD, Platteville, WI 53818
Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 Eastside RdPlatteville, WI 53818-9800 · Phone (608) 342-3019 · Fax (608) 342-3025

Other Identifiers 1

Medicaid34380000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Medica and more.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

Terrence John Norton 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 ID4880653294
PECOS Enrollment IDI20051011000862
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 6

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
257 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
175 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services12 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
21 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services17 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53818 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.84
Promoting Interoperability100
Improvement Activities40

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.

CARRIE A STROMPOLIS-GALLE APNP
Nurse Practitioner (Primary Care)
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-2331
CHLOE MAE BAINBRIDGE OD
Optometrist
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-2331
ALICE S HAUPT MD
Obstetrics & Gynecology
1450 EASTSIDE RD, STE 110
PLATTEVILLE, WI 53818
Grant County (608) 348-4330
ZACHARY OLSEN O.D.
Optometrist
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-4330
CARDINS PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-9221
ANNA SVIRCEV D.O., M.P.H.
Family Medicine
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-2331
JENNY BELKEN
Optometrist
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-2331
MS. CATHERINE A BLUME APNP
Nurse Practitioner (Family)
1450 EASTSIDE RD
PLATTEVILLE, WI 53818
Grant County (608) 348-4330

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 Terrence Norton's NPI number?

The NPI number for Terrence Norton is 1336207588. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Terrence Norton located?

Terrence Norton practices at 1450 Eastside Rd, Platteville, WI 53818. The listed phone number is (608) 342-3019.

What is Terrence Norton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Terrence Norton enrolled in Medicare?

Yes. Terrence Norton 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 Terrence Norton accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Medica and Quartz list Terrence Norton 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 Terrence Norton affiliated with any hospitals?

According to CMS data, Terrence Norton is affiliated with Southwest Health Center.

When was this NPI record last updated?

The NPPES record for Terrence Norton was last updated on November 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.