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BLAISE A NEMETH MD
NPI 1528027166
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Madison, WI

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
5249 E TERRACE DR, MADISON, WI 53718(608) 265-1295(608) 265-0933 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2021, Jan 12, 2021 (2 updates tracked since 2021).

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

NPI1528027166
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameBLAISE A NEMETHCredential: MD
Location Address5249 E TERRACE DRMadison, WI 53718
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 265-1295
Fax(608) 265-0933
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1997
Enumeration DateMarch 22, 2006
Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1528027166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in WI · 40299
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedPediatricsTaxonomy 208000000X · License 40299 (WI)
5249 E TERRACE DR, Madison, WI 53718
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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, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

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.

PECOS PAC ID42217697
PECOS Enrollment IDI20061025000109
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.

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.

MARCIA ANGELA BOLLES PA-C
Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 222-9777
MS. RABECCA CATHERINE COLE LCSW
Social Worker (Clinical)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 251-4156
DR. NORANN RICHARD PHD
Psychologist
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550
DANIELLE OGNO MS
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 222-9777
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Pharmacy
5249 E TERRACE DR, SUITE 9951
MADISON, WI 53718
Dane County (608) 265-1650
DR. DORTHEA LORINE WHEELER MD, PHD
Psychiatry & Neurology (Psychiatry)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 251-4156
LAUREN JERZAK FNP-BC, APNP
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 265-1200
MICHAEL N SKAREDOFF MD
Anesthesiology (Pain Medicine)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550

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.

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 2 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 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.