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SOPHIE M. KRAMER MD
NPI 1457307449
Internal Medicine - Geriatric Medicine in Madison, WI

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
20 S PARK ST, MADISON, WI 53715(608) 282-8050 Get Directions Write a Review

NPPES record last updated: July 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2022, Dec 4, 2020, Dec 19, 2019 (3 updates tracked since 2019).

About Sophie M. Kramer Md NPPES

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

SOPHIE M. KRAMER MD (NPI 1457307449) is an individual geriatric medicine provider in Madison, Wisconsin, licensed in Wisconsin (30230) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Emory University School Of Medicine (1986).

NPPES Registry Identity

NPI1457307449
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameSOPHIE M. KRAMERCredential: MD
Location Address20 S PARK STMadison, WI 53715-1348
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 282-8050
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1986
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 3, 20223 updates tracked since enumeration
NPPES CertifiedJuly 3, 2022
✔ NPI 1457307449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in WI · 30230
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License 30230 (WI)
20 S PARK ST, Madison, WI 53715
Open in Google Maps ↗

Other Identifiers 1

Medicaid1457307449WI

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

Sophie M. Kramer 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 ID2365470846
PECOS Enrollment IDI20050727000670
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 Sophie Kramer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Wisconsin Medical Foundation, Inc
6.6 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485
Columbia St. Mary's Hospital Milwaukee, Inc
76 mi
Multi-Specialty
6900 N PORT WASHINGTON RD
Glendale, WI 53217
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1215945456 (414) 270-8100

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

Areas of Expertise CMS Part B claims 10

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
185 services84 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.
64 services47 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
55 services42 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.
17 services16 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
16 services12 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
16 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 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers72 claims208 services$4.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers34 claims44 services$0.91 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier11 claims340 services$4.74 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers13 claims300 services$2.62 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier18 claims18 services$50.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$15.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JEFFREY S BLAKESLEY DO
Psychiatry & Neurology (Neurology)
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2090
ELIZA A. BENNETT M.D.
Obstetrics & Gynecology
20 S PARK ST, OB/GYN CLINIC
MADISON, WI 53715
Dane County (608) 287-2830
RANDY S HEIDEL MD
Internal Medicine
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2250
ANGELA B. MORGAN PA-C
Physician Assistant (Medical)
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2250
LUKE CHRISTOPHER ADDESSO MD
Pediatrics
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2580
ELIZABETH RUSHING PA
Physician Assistant (Medical)
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2090
DR. SONYA THOMPSON MD
Obstetrics & Gynecology
20 S PARK ST
MADISON, WI 53715
Dane County (608) 914-2200
SHANDA R WELLS PHD
Psychologist
20 S PARK ST
MADISON, WI 53715
Dane County (608) 287-2340

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 Sophie Kramer's NPI number?

The NPI number for Sophie Kramer is 1457307449. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Sophie Kramer located?

Sophie Kramer practices at 20 S Park St, Madison, WI 53715. The listed phone number is (608) 282-8050.

What is Sophie Kramer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Sophie Kramer enrolled in Medicare?

Yes. Sophie Kramer 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 Sophie Kramer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophie Kramer reassigns Medicare benefits to 2 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and Columbia St. Mary's Hospital Milwaukee, Inc (Glendale, WI). 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 Sophie Kramer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sophie Kramer affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Sophie Kramer was last updated on July 3, 2022. 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.