DR. BRIAN W MENDENHALL D.O.
NPI 1366700213
Psychiatry & Neurology - Psychiatry in Madison, WI

Active since April 29, 2012Opted out of Medicare · through Feb 5, 2027
1313 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 283-7193 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2019, Jul 3, 2017, Jun 30, 2016 (3 updates tracked since 2016).

About Dr. Brian W Mendenhall D.o. NPPES

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

DR. BRIAN W MENDENHALL D.O. (NPI 1366700213) is an individual psychiatry provider in Madison, Wisconsin, licensed in Wisconsin (61735) and active in the NPI registry since April 2012. He has opted out of Medicare through February 5, 2027 and remains eligible to order and refer and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366700213
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. BRIAN W MENDENHALLCredential: D.O.
Location Address1313 FISH HATCHERY RDMadison, WI 53715-1911
Mailing Address1808 W Beltline HwyMadison, WI 53713-2334 · (608) 280-4647
Fax(608) 283-7193
Sole ProprietorNo
Enumeration DateApril 29, 2012
Last NPPES UpdateDecember 30, 20193 updates tracked since enumeration
NPI 1366700213 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 · 61735
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.
1313 FISH HATCHERY RD, Madison, WI 53715

Secondary Practice Locations 3

Location 14444 Misty Valley DrMiddleton, WI 53562-1064 · Phone (920) 720-2300 · Fax (920) 720-3719
Location 2225 Memorial DrBerlin, WI 54923-1243 · Phone (920) 720-2300 · Fax (920) 720-3719
Location 31095 Midway RdMenasha, WI 54952-1115 · Phone (920) 720-2300 · Fax (920) 720-3719

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Brian W Mendenhall D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 5, 2025 through February 5, 2027.

Opt-Out Effective DateFebruary 5, 2025
Opt-Out In Effect ThroughFebruary 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 2

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.
61 services24 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
57 services24 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
$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.

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.

Pharmacist
1313 FISH HATCHERY RD, SUITE 300
MADISON, WI 53715
Social Worker (Clinical)
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Social Worker (Clinical)
1313 FISH HATCHERY RD
MADISON, WI 53715
Pharmacist
1313 FISH HATCHERY RD
MADISON, WI 53715
Physician Assistant
1313 FISH HATCHERY RD
MADISON, WI 53715
Audiologist
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Social Worker (Clinical)
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1313 FISH HATCHERY RD
MADISON, WI 53715

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 Brian Mendenhall's NPI number?

The NPI number for Brian Mendenhall is 1366700213. It was assigned to this individual provider in the NPPES registry on April 29, 2012.

Where is Brian Mendenhall located?

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

What is Brian Mendenhall's specialty?

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

Is Brian Mendenhall enrolled in Medicare?

No. Brian Mendenhall has opted out of Medicare through February 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brian Mendenhall accept?

Health plans from Blue Cross and Blue Shield of Texas list Brian Mendenhall 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 Brian Mendenhall was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.