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MARK FROMMELT MD
NPI 1386131225
Internal Medicine - Critical Care Medicine in Madison, WI

Active since April 17, 2018PECOS EnrolledAccepts Medicare Assignment
202 S PARK ST, MADISON, WI 53715(608) 417-5950 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2024, Jul 5, 2021, Feb 28, 2020 and 1 more (4 updates tracked since 2018).

About Mark Frommelt Md NPPES

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

MARK FROMMELT MD (NPI 1386131225) is an individual critical care medicine provider in Madison, Wisconsin, licensed in Wisconsin (72403-20) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386131225
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMARK FROMMELTCredential: MD
Location Address202 S PARK STMadison, WI 53715-1507
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 417-5950
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2018
Enumeration DateApril 17, 2018
Last NPPES UpdateJuly 11, 20244 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1386131225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in WI · 72403-20
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 72403-20 (WI), 48475 (IA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
202 S PARK ST, Madison, WI 53715
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Uw Hospitals and Clinics 600 Highland AvenueMadison, WI 53792-0001 · Phone (715) 379-1674
Location 2200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 353-6239

Accepted Insurance

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

Mark Frommelt 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 ID5991052193
PECOS Enrollment IDI20240716000992
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.

Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
54 services53 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
38 services37 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
31 services31 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.
28 services12 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
22 services22 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.
22 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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 20

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

ASHLEY N BERKA NURSE PRACTITIONER
Nurse Practitioner
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6667
BROOK INGEBRIGTSON APNP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
PAUL LADWIG RN
Registered Nurse
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
DIXITA KAPPELL NP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
SUSAN R WILHELM PA-C
Physician Assistant (Medical)
202 S PARK ST, MERITER ATRIUM
MADISON, WI 53715
Dane County (608) 417-5970
PETER GERARD PRYDE MD
Anesthesiology
202 S PARK ST, 4 TOWER
MADISON, WI 53715
Dane County (608) 267-6676
SUSAN MENG PT
Physical Therapist
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
BRIAN DAVID GRIFFITH M.D.
Internal Medicine (Critical Care Medicine)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-5950

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 Mark Frommelt's NPI number?

The NPI number for Mark Frommelt is 1386131225. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Mark Frommelt located?

Mark Frommelt practices at 202 S Park St, Madison, WI 53715. The listed phone number is (608) 417-5950.

What is Mark Frommelt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Mark Frommelt enrolled in Medicare?

Yes. Mark Frommelt 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 Mark Frommelt accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Mark Frommelt 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 Mark Frommelt affiliated with any hospitals?

According to CMS data, Mark Frommelt is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Mark Frommelt was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.