BLAISE A NEMETH MD
NPI 1528027166
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Madison, WI
About Blaise A Nemeth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAISE A NEMETH MD (NPI 1528027166) is an individual pediatric orthopaedic surgery provider in Madison, Wisconsin, licensed in Wisconsin (40299) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Blaise A Nemeth 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.
Medicare Billing Reassignments
2Medicare enrollment records show Blaise Nemeth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Elm Grove, WI 53122
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MADISON, WI 53718
MADISON, WI 53718
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 Blaise Nemeth's NPI number?
The NPI number for Blaise Nemeth is 1528027166. It was assigned to this individual provider in the NPPES registry on March 22, 2006.
Where is Blaise Nemeth located?
Blaise Nemeth practices at 5249 E Terrace Dr, Madison, WI 53718. The listed phone number is (608) 265-1295.
What is Blaise Nemeth's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.
Is Blaise Nemeth enrolled in Medicare?
Yes. Blaise Nemeth 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 Blaise Nemeth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blaise Nemeth reassigns Medicare benefits to 2 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and Gundersen Lutheran Medical Center Inc (Elm Grove, 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 Blaise Nemeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blaise Nemeth accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and HealthPartners and 3 other insurers list Blaise Nemeth 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.
When was this NPI record last updated?
The NPPES record for Blaise Nemeth was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Blaise A Nemeth, MD · NPI 1528027166
Pediatric Orthopaedic Surgery physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since March 22, 2006.
## Identity
- **NPI:** 1528027166 (Entity type: Individual)
- **Enumerated:** March 22, 2006
- **Primary specialty:** Orthopaedic Surgery - Pediatric Orthopaedic Surgery · taxonomy 207XP3100X
- **State license:** 40299 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 5249 E TERRACE DR, Madison, WI 53718
- **Phone:** (608) 265-1295 · **Fax:** (608) 265-0933
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); Gundersen Lutheran Medical Center Inc (NPI 1548992316, Elm Grove, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Washington University School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** September 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1528027166) · Data from the CMS NPPES public registry.