SUZANNE M WELSCH MD
NPI 1427168582
Obstetrics & Gynecology in Madison, WI

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1821 S STOUGHTON RD, MADISON, WI 53716(608) 260-6000(608) 260-6835 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2020, Apr 22, 2020 (2 updates tracked since 2020).

About Suzanne M Welsch Md NPPES

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

SUZANNE M WELSCH MD (NPI 1427168582) is an individual obstetrics & gynecology provider in Madison, Wisconsin, licensed in Wisconsin (39998) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Medical College Of Wisconsin (1990).

NPPES Registry Identity

NPI1427168582
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSUZANNE M WELSCHCredential: MD
Location Address1821 S STOUGHTON RDMadison, WI 53716-2257
Mailing Address1821 S Stoughton RdMadison, WI 53716-2257 · (608) 260-6000 · Fax (608) 260-6835
Fax(608) 260-6835
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1990
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 21, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2026
✔ NPI 1427168582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 39998
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1821 S STOUGHTON RD, Madison, WI 53716

Other Identifiers 1

Medicaid32445600WI

Accepted 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

Suzanne M Welsch 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 ID749287506
PECOS Enrollment IDI20061109000018
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

3

Medicare enrollment records show Suzanne Welsch reassigns Medicare billing to 3 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
Family Medicine
112 HELEN ST
Sauk City, WI 53583
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Prairie Clinic Sc
  • 9 clinicians in this Medicare group
Obstetrics & Gynecology
9050 AIRLINE HWY
Baton Rouge, LA 70815
  • Reassigned Medicare billing, Louisiana enrollment
  • 48 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.

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53716 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Urology
1821 S STOUGHTON RD
MADISON, WI 53716
Allergy & Immunology
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Dietitian, Registered
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Speech-Language Pathologist
1821 S STOUGHTON RD
MADISON, WI 53716
Emergency Medicine
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716

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 Suzanne Welsch's NPI number?

The NPI number for Suzanne Welsch is 1427168582. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Suzanne Welsch located?

Suzanne Welsch practices at 1821 S Stoughton Rd, Madison, WI 53716. The listed phone number is (608) 260-6000.

What is Suzanne Welsch's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Suzanne Welsch enrolled in Medicare?

Yes. Suzanne Welsch 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 Suzanne Welsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Welsch reassigns Medicare benefits to 3 organizations: Dean Health Systems, Inc (Madison, WI), Sauk Prairie Healthcare, Inc. (Sauk City, WI) and Woman's Assessment Center Physicians (Baton Rouge, LA). 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 Suzanne Welsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzanne Welsch accept?

Health plans from Dean Health Plan and HMO Louisiana list Suzanne Welsch 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 Suzanne Welsch affiliated with any hospitals?

According to CMS data, Suzanne Welsch is affiliated with Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Suzanne Welsch was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.