PHILIP F GIAMPIETRO MD PHD
NPI 1346340080
Pediatrics in Madison, WI

Active since September 23, 2006PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
1500 HIGHLAND AVE, MADISON, WI 53705(608) 829-5485(608) 263-3496 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Philip F Giampietro Md Phd NPPES

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

PHILIP F GIAMPIETRO MD PHD (NPI 1346340080) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (43529) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1987).

NPPES Registry Identity

NPI1346340080
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePHILIP F GIAMPIETROCredential: MD PHD
Location Address1500 HIGHLAND AVEMadison, WI 53705-2274
Mailing Address7974 Uw Health CourtMiddelton, WI 53562-5531
Fax(608) 263-3496
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1987
Enumeration DateSeptember 23, 2006
Last NPPES UpdateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1346340080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 43529
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License 036-154133 (IL)
1500 HIGHLAND AVE, Madison, WI 53705

Accepted 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

Philip F Giampietro 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 ID9133280878
PECOS Enrollment IDI20201107000030
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

3

Medicare enrollment records show Philip Giampietro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Student Health
840 BLACKHAWK BLVD
South Beloit, IL 61080
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
Primary Care
3250 N ARLINGTON HEIGHTS RD
Arlington Heights, IL 60004
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
Anesthesiology
2211 N OAK PARK AVE
Chicago, IL 60707
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

Social Worker (Clinical)
1500 HIGHLAND AVE, ROOM 102
MADISON, WI 53705
Psychologist
1500 HIGHLAND AVE
MADISON, WI 53705
Behavior Analyst
1500 HIGHLAND AVE
MADISON, WI 53705
Medical Genetics (Clinical Genetics (M.D.))
1500 HIGHLAND AVE
MADISON, WI 53705
Speech-Language Pathologist
1500 HIGHLAND AVE
MADISON, WI 53705
Audiologist
1500 HIGHLAND AVE
MADISON, WI 53705
Medical Genetics (Clinical Genetics (M.D.))
1500 HIGHLAND AVE
MADISON, WI 53705
Speech-Language Pathologist
1500 HIGHLAND AVE
MADISON, WI 53705

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 Philip Giampietro's NPI number?

The NPI number for Philip Giampietro is 1346340080. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Philip Giampietro located?

Philip Giampietro practices at 1500 Highland Ave, Madison, WI 53705. The listed phone number is (608) 829-5485.

What is Philip Giampietro's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Philip Giampietro enrolled in Medicare?

Yes. Philip Giampietro 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 Philip Giampietro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Giampietro reassigns Medicare benefits to 3 organizations: The Board Of Trustees Of The University Of Illinois (South Beloit, IL), Cook County (Arlington Heights, IL) and Shriners Hospitals For Children (Chicago, IL). 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 Philip Giampietro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Giampietro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and AmeriHealth Caritas Next and 1 other insurer list Philip Giampietro 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 Philip Giampietro affiliated with any hospitals?

According to CMS data, Philip Giampietro is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Philip Giampietro was last updated on July 1, 2021. 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.