TIMOTHY P VANDERBILT M.D.
NPI 1548403231
Orthopaedic Surgery in Madison, WI

Active since April 11, 2009PECOS EnrolledAccepts Medicare Assignment
1211 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 288-6495 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2022, Jan 13, 2021, Mar 17, 2018 and 4 more (7 updates tracked since 2017).

About Timothy P Vanderbilt M.d. NPPES

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

TIMOTHY P VANDERBILT M.D. (NPI 1548403231) is an individual orthopaedic surgery provider in Madison, Wisconsin, licensed in Alaska (102696) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1548403231
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTIMOTHY P VANDERBILTCredential: M.D.
Location Address1211 FISH HATCHERY RDMadison, WI 53715-1909
Mailing Address1211 Fish Hatchery RdMadison, WI 53715-1909 · (608) 252-8000 · Fax (608) 288-6495
Fax(608) 288-6495
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 11, 2009
Last NPPES UpdateJanuary 31, 20227 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
NPI 1548403231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in AK · 102696 Licensed in WI · 55868-20 Licensed in NV · 17227
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1211 FISH HATCHERY RD, Madison, WI 53715

Other Identifiers 1

Medicaid1548403231WI

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

Timothy P Vanderbilt M.d. 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 ID4385877901
PECOS Enrollment IDI20210128000101
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services39 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.
30 services27 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
23 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

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.

Durable Medical Equipment & Medical Supplies
1211 FISH HATCHERY RD
MADISON, WI 53715
Physician Assistant
1211 FISH HATCHERY RD
MADISON, WI 53715
Physician Assistant
1211 FISH HATCHERY RD
MADISON, WI 53715
Orthopaedic Surgery
1211 FISH HATCHERY RD
MADISON, WI 53715
Internal Medicine (Hematology & Oncology)
1211 FISH HATCHERY RD
MADISON, WI 53715
Internal Medicine (Hematology & Oncology)
1211 FISH HATCHERY RD
MADISON, WI 53715
Pediatrics (Sports Medicine)
1211 FISH HATCHERY RD
MADISON, WI 53715
Physical Therapist
1211 FISH HATCHERY RD
MADISON, WI 53715

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 Timothy Vanderbilt's NPI number?

The NPI number for Timothy Vanderbilt is 1548403231. It was assigned to this individual provider in the NPPES registry on April 11, 2009.

Where is Timothy Vanderbilt located?

Timothy Vanderbilt practices at 1211 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is Timothy Vanderbilt's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Timothy Vanderbilt enrolled in Medicare?

Yes. Timothy Vanderbilt 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 Timothy Vanderbilt accept?

Health plans from Anthem Blue Cross and Blue Shield list Timothy Vanderbilt 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 Timothy Vanderbilt affiliated with any hospitals?

According to CMS data, Timothy Vanderbilt is affiliated with The Monroe Clinic, Ssm Health St Clare Hospital - Baraboo, Ssm Health St Mary's Hospital - Madison and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Vanderbilt was last updated on January 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.