MARTHA A. HIDALGO MD
NPI 1508864547
Internal Medicine in Eau Claire, WI

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
2116 CRAIG RD, EAU CLAIRE, WI 54701(715) 858-4500 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Martha A. Hidalgo Md NPPES

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

MARTHA A. HIDALGO MD (NPI 1508864547) is an individual internal medicine provider in Eau Claire, Wisconsin, licensed in Wisconsin (44498) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1508864547
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARTHA A. HIDALGOCredential: MD
Location Address2116 CRAIG RDEau Claire, WI 54701-6149
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 13, 2005
Last NPPES UpdateNovember 17, 2022
NPI 1508864547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in WI · 44498 Licensed in MI · 4301063363
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2116 CRAIG RD, Eau Claire, WI 54701

Other Identifiers 5

Other12D77HIMN · Bcbs
Medicaid32367500WI
Medicaid3352938MI
Other700B710030MI · Bcbs
Other1018460Preferredone

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

Martha A. Hidalgo 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 ID7416965918
PECOS Enrollment IDI20060324000353
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 7

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 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.
283 services187 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
121 services121 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
116 services116 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.
54 services43 patients
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.
49 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number521328
Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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
$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.

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Referred Medical Equipment & Supplies CMS DME claims 8

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
10 suppliers27 claims59 services$5.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers23 claims25 services$0.86 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers13 claims13 services$5.20 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$115.11 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers26 claims2,220 services$0.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$170.49 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.

Radiology (Diagnostic Radiology)
2116 CRAIG RD
EAU CLAIRE, WI 54701
Internal Medicine (Gastroenterology)
2116 CRAIG RD
EAU CLAIRE, WI 54701
Orthopaedic Surgery
2116 CRAIG RD
EAU CLAIRE, WI 54701
Orthopaedic Surgery
2116 CRAIG RD
EAU CLAIRE, WI 54701
Pediatrics
2116 CRAIG RD
EAU CLAIRE, WI 54701
Orthopaedic Surgery
2116 CRAIG RD
EAU CLAIRE, WI 54701
Physician Assistant
2116 CRAIG RD
EAU CLAIRE, WI 54701
Emergency Medicine
2116 CRAIG RD
EAU CLAIRE, WI 54701

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 Martha Hidalgo's NPI number?

The NPI number for Martha Hidalgo is 1508864547. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Martha Hidalgo located?

Martha Hidalgo practices at 2116 Craig Rd, Eau Claire, WI 54701. The listed phone number is (715) 858-4500.

What is Martha Hidalgo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Martha Hidalgo enrolled in Medicare?

Yes. Martha Hidalgo 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 Martha Hidalgo accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Martha Hidalgo 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 Martha Hidalgo affiliated with any hospitals?

According to CMS data, Martha Hidalgo is affiliated with Marshfield Medical Center, Mayo Clinic Health System Eau Claire Hospital, Marshfield Medical Center - Eau Claire and Marshfield Medical Center - Ladysmith.

When was this NPI record last updated?

The NPPES record for Martha Hidalgo was last updated on November 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.