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CONNOR WALTER GULLSTRAND
NPI 1396364204
Hospitalist in Madison, WI

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6400(608) 262-6743 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 18, 2023, Apr 10, 2020 (2 updates tracked since 2020).

About Connor Walter Gullstrand NPPES

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

CONNOR WALTER GULLSTRAND (NPI 1396364204) is an individual hospitalist provider in Madison, Wisconsin, licensed in Wisconsin (82247) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Medical College Of Wisconsin (2020).

NPPES Registry Identity

NPI1396364204
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameCONNOR WALTER GULLSTRAND
Location Address600 HIGHLAND AVEMadison, WI 53792-0816
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-6400
Fax(608) 262-6743
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1396364204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 82247
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
600 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

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

Connor Walter Gullstrand 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 ID3072938109
PECOS Enrollment IDI20230707000791
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 6

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.

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.
379 services125 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
87 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
70 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services48 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 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 53792 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.

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

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 Connor Gullstrand's NPI number?

The NPI number for Connor Gullstrand is 1396364204. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Connor Gullstrand located?

Connor Gullstrand practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6400.

What is Connor Gullstrand's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Connor Gullstrand enrolled in Medicare?

Yes. Connor Gullstrand 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 Connor Gullstrand accept?

Health plans from Group Health Cooperative-SCW list Connor Gullstrand 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 Connor Gullstrand affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Connor Gullstrand was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.