SARA LAY DO
NPI 1497164941
Physical Medicine & Rehabilitation in Middleton, WI

Active since August 08, 2014PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
6630 UNIVERSITY AVE, MIDDLETON, WI 53562(608) 263-6540(608) 263-5011 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2025, Jul 1, 2025, Aug 15, 2024 and 5 more (8 updates tracked since 2016).

About Sara Lay Do NPPES

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

SARA LAY DO (NPI 1497164941) is an individual physical medicine & rehabilitation provider in Middleton, Wisconsin, licensed in Wisconsin (81948) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497164941
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameSARA LAYCredential: DO
Location Address6630 UNIVERSITY AVEMiddleton, WI 53562-3036
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 263-5011
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 8, 2014
Last NPPES UpdateSeptember 5, 20258 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
NPI 1497164941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses Licensed in WI · 81948 Licensed in PA · OS021615 Licensed in MN · 73144
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
6630 UNIVERSITY AVE, Middleton, WI 53562

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

Sara Lay Do 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 ID6507285673
PECOS Enrollment IDI20250708001395
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 6

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
46 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services25 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.
22 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin 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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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 (Orthopedic)
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Physical Therapist
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Speech-Language Pathologist
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Occupational Therapist
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Speech-Language Pathologist
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Physical Medicine & Rehabilitation
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Physical Therapist
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Speech-Language Pathologist
6630 UNIVERSITY AVE, MIDDLETON REHAB CLINIC
MIDDLETON, WI 53562

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 Sara Lay's NPI number?

The NPI number for Sara Lay is 1497164941. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Sara Lay located?

Sara Lay practices at 6630 University Ave, Middleton, WI 53562. The listed phone number is (608) 263-6540.

What is Sara Lay's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Sara Lay enrolled in Medicare?

Yes. Sara Lay 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 Sara Lay accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica, Quartz and Security Health Plan list Sara Lay 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 Sara Lay affiliated with any hospitals?

According to CMS data, Sara Lay is affiliated with Abbott Northwestern Hospital and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Sara Lay was last updated on September 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.