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NICHOLAS LEPA M.D.
NPI 1386091668
Emergency Medicine in Madison, WI

Active since May 17, 2016PECOS EnrolledAccepts Medicare Assignment
2550 UNIVERSITY AVE, MADISON, WI 53705(763) 226-4262 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 20, 2022, Jan 15, 2021, Jul 1, 2019 and 3 more (6 updates tracked since 2016).

About Nicholas Lepa M.d. NPPES

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

NICHOLAS LEPA M.D. (NPI 1386091668) is an individual emergency medicine provider in Madison, Wisconsin, licensed in Wisconsin (68829) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Health Care Medical Center Down, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386091668
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNICHOLAS LEPACredential: M.D.
Location Address2550 UNIVERSITY AVEMadison, WI 53705-3830
Mailing Address2550 University AveMadison, WI 53705-3830
Phone(763) 226-4262
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateJanuary 20, 20226 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1386091668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 68829
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2550 UNIVERSITY AVE, Madison, WI 53705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Nicholas Lepa 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 ID7517250855
PECOS Enrollment IDI20200411000738
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

4

Medicare enrollment records show Nicholas Lepa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Wisconsin Emergency Associates Sc
42 mi
Emergency Medicine
1969 W HART RD
Beloit, WI 53511
  • Reassigned Medicare billing, Wisconsin enrollment
  • 110 clinicians in this Medicare group
NPI 1568538189 (405) 696-7932
Linn County Emergency Medicine PC
135 mi
Emergency Medicine
1195 BOYSON RD STE 101
Hiawatha, IA 52233
  • Reassigned Medicare billing, Iowa enrollment
  • 51 clinicians in this Medicare group
NPI 1275151003 (319) 832-3950
Johnson County Emergency Medicine, Plc
145 mi
Emergency Medicine
500 E MARKET ST
Iowa City, IA 52245
  • Reassigned Medicare billing, Iowa enrollment
  • 55 clinicians in this Medicare group
NPI 1316582729 (817) 451-4208
Washington County Hospital
160 mi
Family Medicine
503 3RD ST
Kalona, IA 52247
  • Reassigned Medicare billing, Iowa enrollment
  • 86 clinicians in this Medicare group
NPI 1235985003 (319) 656-4000

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

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
90 services86 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Iowa Health Care Medical Center Down

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160029
Location500 E Market StreetIowa City, IA 52245 · Johnson County
Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn 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.

Other Providers at the Same Location NPPES 3

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

LISA M VANGEMERT M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
2550 UNIVERSITY AVE, APT 523
MADISON, WI 53705
Dane County (509) 993-8275
LYAL SLEIMAN
Social Worker (Clinical)
2550 UNIVERSITY AVE
MADISON, WI 53705
Dane County (608) 443-5480
LINDA K GEREN MSN,FNP-C
Nurse Practitioner
2550 UNIVERSITY AVE
MADISON, WI 53705
Dane County (540) 314-3066

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 Nicholas Lepa's NPI number?

The NPI number for Nicholas Lepa is 1386091668. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Nicholas Lepa located?

Nicholas Lepa practices at 2550 University Ave, Madison, WI 53705. The listed phone number is (763) 226-4262.

What is Nicholas Lepa's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Lepa enrolled in Medicare?

Yes. Nicholas Lepa 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 Nicholas Lepa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Lepa reassigns Medicare benefits to 4 organizations: Southern Wisconsin Emergency Associates Sc (Beloit, WI), Linn County Emergency Medicine PC (Hiawatha, IA), Johnson County Emergency Medicine, Plc (Iowa City, IA) and Washington County Hospital (Kalona, IA). 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 Nicholas Lepa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Lepa accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Nicholas Lepa 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 Nicholas Lepa affiliated with any hospitals?

According to CMS data, Nicholas Lepa is affiliated with University Of Iowa Health Care Medical Center Down and Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Nicholas Lepa was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.