Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY CATHERINE ERNSTER MD
NPI 1407434517
Pediatrics in Madison, WI

Active since March 30, 2021PECOS Enrolled
1211 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 258-6933 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, Dec 18, 2025, Aug 23, 2024 and 3 more (6 updates tracked since 2021).

About Mary Catherine Ernster Md NPPES

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

MARY CATHERINE ERNSTER MD (NPI 1407434517) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (85282-20) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1407434517
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY CATHERINE ERNSTERCredential: MD
Location Address1211 FISH HATCHERY RDMadison, WI 53715-1909
Mailing Address752 N High Point RdMadison, WI 53717-2236 · (608) 824-4997
Fax(608) 258-6933
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateOctober 27, 20266 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1407434517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 85282-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1211 FISH HATCHERY RD, Madison, WI 53715

Other Names 1

Former Name (1)Mary C Moore

Secondary Practice Location 1

Location 1752 N High Point RdMadison, WI 53717-2236 · Phone (608) 824-4997

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Catherine Ernster Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Mary Ernster reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group

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

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.

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.

Physical Therapist
1211 FISH HATCHERY RD
MADISON, WI 53715
Registered Nurse (Ambulatory Care)
1211 FISH HATCHERY RD
MADISON, WI 53715
Pediatrics
1211 FISH HATCHERY RD
MADISON, WI 53715
Otolaryngology
1211 FISH HATCHERY RD
MADISON, WI 53715
Dietitian, Registered
1211 FISH HATCHERY RD
MADISON, WI 53715
Allergy & Immunology
1211 FISH HATCHERY RD
MADISON, WI 53715
Physician Assistant
1211 FISH HATCHERY RD
MADISON, WI 53715
Pharmacist
1211 FISH HATCHERY RD
MADISON, WI 53715

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 Mary Ernster's NPI number?

The NPI number for Mary Ernster is 1407434517. It was assigned to this individual provider in the NPPES registry on March 30, 2021. The provider is also known as Mary C Moore.

Where is Mary Ernster located?

Mary Ernster practices at 1211 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is Mary Ernster's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Ernster enrolled in Medicare?

Yes. Mary Ernster is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Ernster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ernster reassigns Medicare benefits to 2 organizations: Dean Health Systems, Inc (Madison, WI) and Lutheran General Hospital (Park Ridge, IL). 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 Mary Ernster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Ernster accept?

Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Mary Ernster 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.

When was this NPI record last updated?

The NPPES record for Mary Ernster was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.