DR. MARY L STOFFEL M.D.
NPI 1437111036
Obstetrics & Gynecology - Gynecology in Madison, WI
NPI Status: Active since April 06, 2006
Contact Information
5801 RESEARCH PARK BLVD
SUITE 400
MADISON, WI
ZIP 53719
Phone: (608) 729-6300
Fax: (608) 729-1099
- Individual
- Female
- Obstetrics & Gynecology
- Gynecology
- Accepts Insurance
- PECOS Enrolled
About MARY STOFFEL
This page provides the complete NPI Profile along with additional information for Mary Stoffel, a women's health care provider established in Madison, Wisconsin with a medical specialization in Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1437111036 assigned on April 2006. The practitioner's primary taxonomy code is 207VG0400X with license number 31084-020 (WI). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1437111036
- Provider Name
- DR. MARY L STOFFEL M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719
- Location Phone
- (608) 729-6300
- Location Fax
- (608) 729-1099
- Mailing Address
- 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719
- Mailing Phone
- (608) 729-6300
- Mailing Fax
- (608) 729-1099
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-06-2006
- Last Update Date
- 05-31-2022
- Code Navigator
Women's health care providers like Mary Stoffel treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Gynecology
- Taxonomy Code
- 207VG0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 31084-020
- License State
- WI
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31599100 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Mary Stoffel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53719 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. MARY L STOFFEL M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 3 | 7 | 1 | 1 | 1 | 0 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 2 | 1 | 2 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 2 + 1 + 2 + 0 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1437111036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
TROY A ALTON DDS
Dentist
(Oral and Maxillofacial Surgery)
5801 RESEARCH PARK BLVD
STE 110
MADISON, WI
ZIP 53719
GREGORY G STRONCEK DDS
Dentist
(Oral and Maxillofacial Surgery)
5801 RESEARCH PARK BLVD
STE 110
MADISON, WI
ZIP 53719
TIMOTHY J KOOB DDS
Dentist
(Oral and Maxillofacial Surgery)
5801 RESEARCH PARK BLVD
STE 110
MADISON, WI
ZIP 53719
SCOTT A HOYER DDS
Dentist
(Oral and Maxillofacial Surgery)
5801 RESEARCH PARK BLVD
STE 110
MADISON, WI
ZIP 53719
CHRISTOPHER J BACSIK DMD
Dentist
(Oral and Maxillofacial Surgery)
5801 RESEARCH PARK BLVD
STE 110
MADISON, WI
ZIP 53719
PATRICK J LORGE DDS
Dentist
(Oral and Maxillofacial Surgery)
5801 RESEARCH PARK BLVD
STE 110
MADISON, WI
ZIP 53719
BRENDA L CASEY MD
Obstetrics & Gynecology
5801 RESEARCH PARK BLVD
SUITE 400
MADISON, WI
ZIP 53719
SHARE THE HEALTH FREE GYNECOLOGY CLINIC, INC.
Obstetrics & Gynecology
(Gynecology)
5801 RESEARCH PARK BLVD
SUITE 400
MADISON, WI
ZIP 53719
SHEFAALI SHARMA M.D.
Obstetrics & Gynecology
5801 RESEARCH PARK BLVD
SUITE 400
MADISON, WI
ZIP 53719
PATRICIA D THORNEWELL PHARMD
Pharmacist
5801 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
MADISON ORAL & MAXILLOFACIAL SURGEONS SC
Dentist
(Oral and Maxillofacial Surgery)
5801 RESEARCH PARK BLVD
STE 110
MADISON, WI
ZIP 53719
DR. KARLA JEAN DICKMEYER M.D.
Obstetrics & Gynecology
5801 RESEARCH PARK BLVD
SUITE 400
MADISON, WI
ZIP 53719
STEPHANIE BRASSER APNP
Nurse Practitioner
(Adult Health)
5801 RESEARCH PARK BLVD
SUITE 400
MADISON, WI
ZIP 53719
SARAH L YANKE M.D.
Obstetrics & Gynecology
5801 RESEARCH PARK BLVD
SUITE 400
MADISON, WI
ZIP 53719
ERIN M SCHOENECKER MD
Obstetrics & Gynecology
5801 RESEARCH PARK BLVD
SUITE 400
MADISON, WI
ZIP 53719
MADISON WOMEN'S HEALTH, LLP
Obstetrics & Gynecology
5801 RESEARCH PARK BLVD
SUITE 400
MADISON, WI
ZIP 53719
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437111036, enumerated as an "individual" on April 06, 2006.
The provider is located at 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719 and the phone number is (608) 729-6300.
Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.
