MARK R MCCABE MD
NPI 1407352537
Family Medicine in Fitchburg, WI

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
5543 E CHERYL PKWY, FITCHBURG, WI 53711(608) 274-5300 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2021, Aug 6, 2021, Jan 9, 2020 (3 updates tracked since 2020).

About Mark R Mccabe Md NPPES

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

MARK R MCCABE MD (NPI 1407352537) is an individual family medicine provider in Fitchburg, Wisconsin, licensed in Wisconsin (72299) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Wisconsin School Of Medicine (2018).

NPPES Registry Identity

NPI1407352537
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK R MCCABECredential: MD
Location Address5543 E CHERYL PKWYFitchburg, WI 53711-5376
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateSeptember 22, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
NPI 1407352537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 72299
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.
5543 E CHERYL PKWY, Fitchburg, WI 53711

Accepted 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 R Mccabe 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 ID3274968276
PECOS Enrollment IDI20210817002483
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
141 services98 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.
75 services52 patients
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.
64 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 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.
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 53711 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 20

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

Family Medicine
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Family Medicine
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Nurse Practitioner
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Family Medicine
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Internal Medicine (Geriatric Medicine)
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Social Worker (Clinical)
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Pediatrics
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Nurse Practitioner
5543 E CHERYL PKWY
FITCHBURG, WI 53711

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 Mccabe's NPI number?

The NPI number for Mark Mccabe is 1407352537. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Mark Mccabe located?

Mark Mccabe practices at 5543 E Cheryl Pkwy, Fitchburg, WI 53711. The listed phone number is (608) 274-5300.

What is Mark Mccabe's specialty?

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

Is Mark Mccabe enrolled in Medicare?

Yes. Mark Mccabe 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 Mccabe 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 Mccabe 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 Mccabe affiliated with any hospitals?

According to CMS data, Mark Mccabe 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 Mccabe was last updated on September 22, 2021. 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.