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LAURA J BERGHAHN MD
NPI 1508834995
Obstetrics & Gynecology in Madison, WI

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
81.65/100
CMS Quality Rating
4410 REGENT STREET, MADISON, WI 53705(608) 233-9746(608) 233-0026 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laura J Berghahn Md NPPES

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

LAURA J BERGHAHN MD (NPI 1508834995) is an individual obstetrics & gynecology provider in Madison, Wisconsin, licensed in Wisconsin (41303) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Wisconsin School Of Medicine (1998).

NPPES Registry Identity

NPI1508834995
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLAURA J BERGHAHNCredential: MD
Location Address4410 REGENT STREETMadison, WI 53705
Mailing Address4410 Regent StreetMadison, WI 53705 · (608) 233-9746 · Fax (608) 233-0026
Phone(608) 233-9746
Fax(608) 233-0026
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1998
Enumeration DateMarch 10, 2006
Last NPPES UpdateJune 18, 2010
✔ NPI 1508834995 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 · 41303
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.
4410 REGENT STREET, Madison, WI 53705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz.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

Laura J Berghahn 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 ID5698800225
PECOS Enrollment IDI20100320000197
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services22 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
25 services25 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
25 services25 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

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 53705 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.

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.

81.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.83
Promoting Interoperability91
Improvement Activities40
Cost65.53

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA A BURNS M.D.
Obstetrics & Gynecology
4410 REGENT STREET
MADISON, WI 53705
Dane County (608) 233-9746
DR. HEATHER A RAINWATER M.D.
Pediatrics
4410 REGENT STREET
MADISON, WI 53705
Dane County (608) 233-9746
JENNIFER L EVERTON D.O.
Internal Medicine
4410 REGENT STREET
MADISON, WI 53705
Dane County (608) 233-9746

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 Laura Berghahn's NPI number?

The NPI number for Laura Berghahn is 1508834995. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Laura Berghahn located?

Laura Berghahn practices at 4410 Regent Street, Madison, WI 53705. The listed phone number is (608) 233-9746.

What is Laura Berghahn's specialty?

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

Is Laura Berghahn enrolled in Medicare?

Yes. Laura Berghahn 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 Laura Berghahn accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Laura Berghahn 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 Laura Berghahn affiliated with any hospitals?

According to CMS data, Laura Berghahn is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Laura Berghahn was last updated on June 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.