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DR. WILLIAM JAMES KINSEY MD
NPI 1376545939
Family Medicine in Madison, WI

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
333 EAST CAMPUS MALL, MADISON, WI 53715(608) 265-5600(608) 263-6884 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2021, Feb 29, 2016 (2 updates tracked since 2016).

About Dr. William James Kinsey Md NPPES

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

DR. WILLIAM JAMES KINSEY MD (NPI 1376545939) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (42565-20) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Vermont College Of Medicine (1999).

NPPES Registry Identity

NPI1376545939
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM JAMES KINSEYCredential: MD
Location Address333 EAST CAMPUS MALLMadison, WI 53715-1381
Mailing Address333 East Campus Mall, Room 7306Madison, WI 53715-1381 · (608) 265-5600 · Fax (608) 263-6884
Phone(608) 265-5600
Fax(608) 263-6884
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1999
Enumeration DateAugust 12, 2005
Last NPPES UpdateFebruary 11, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
✔ NPI 1376545939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 42565-20✔ Licensed in MA · 216206
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.
333 EAST CAMPUS MALL, Madison, WI 53715
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Other Identifiers 1

Medicaid1303775MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.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

Dr. William James Kinsey 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 ID2668431230
PECOS Enrollment IDI20100122000034
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 8

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
291 services107 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
26 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services22 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
23 services20 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims52 services$6.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$91.11 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$21.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHANIE K. BETTS D.O.
Family Medicine
333 EAST CAMPUS MALL, UHS PRIMARY CARE
MADISON, WI 53715
Dane County (608) 265-5600
MR. OWEN MARTIN DORAN PA-C
Physician Assistant
333 EAST CAMPUS MALL, #5123
MADISON, WI 53715
Dane County (608) 262-2948
MARSHA MARIE STEFFEN R.N., B.S.N.
Registered Nurse (College Health)
333 EAST CAMPUS MALL, UNIVERSITY HEALTH SERVICE
MADISON, WI 53715
Dane County (608) 265-5600
BEATRIZ ISABEL LAVELL MD
Family Medicine
333 EAST CAMPUS MALL, UNIVERSITY HEALTH SERVICES
MADISON, WI 53715
Dane County (608) 265-5600
JOLENE R HUBER PA-C
Physician Assistant (Medical)
333 EAST CAMPUS MALL
MADISON, WI 53715
Dane County (608) 265-5600
MARIA KAY CAMPANILE MD
Internal Medicine
333 EAST CAMPUS MALL
MADISON, WI 53715
Dane County (608) 265-5600
MS. JENNIFER STENGER R.N.
Registered Nurse (College Health)
333 EAST CAMPUS MALL, UNIVERSITY HEALTH SERVICES
MADISON, WI 53715
Dane County (608) 265-2559
MRS. KATIE A. KIELER NP
Nurse Practitioner
333 EAST CAMPUS MALL
MADISON, WI 53715
Dane County (608) 265-5600

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 William Kinsey's NPI number?

The NPI number for William Kinsey is 1376545939. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is William Kinsey located?

William Kinsey practices at 333 East Campus Mall, Madison, WI 53715. The listed phone number is (608) 265-5600.

What is William Kinsey's specialty?

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

Is William Kinsey enrolled in Medicare?

Yes. William Kinsey 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 William Kinsey accept?

Health plans from Group Health Cooperative-SCW list William Kinsey 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 William Kinsey affiliated with any hospitals?

According to CMS data, William Kinsey is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for William Kinsey was last updated on February 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.