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DR. DAWN MARIE ELFENBEIN MD
NPI 1548437163
Surgery in Madison, WI

Active since May 13, 2008PECOS Enrolled
1515 SPAIGHT ST, MADISON, WI 53703(410) 274-2658 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2021, Sep 16, 2019 (2 updates tracked since 2019).

About Dr. Dawn Marie Elfenbein Md NPPES

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

DR. DAWN MARIE ELFENBEIN MD (NPI 1548437163) is an individual surgery provider in Madison, Wisconsin, licensed in Wisconsin (59868-20) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Johns Hopkins University School Of Medicine (2006).

NPPES Registry Identity

NPI1548437163
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. DAWN MARIE ELFENBEINCredential: MD
Location Address1515 SPAIGHT STMadison, WI 53703-3724
Mailing Address1515 Spaight StMadison, WI 53703-3724
Phone(410) 274-2658
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2006
Enumeration DateMay 13, 2008
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1548437163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 59868-20
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1515 SPAIGHT ST, Madison, WI 53703
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Other Names 1

Former Name (1)Dr. Dawn Marie Emick Md

Other Identifiers 1

Other134902NC · North Carolina Medical Board Certificate Number

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dawn Marie Elfenbein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830334465
PECOS Enrollment IDI20130401000507
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 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
33 services22 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
26 services26 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
25 services24 patients
Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
24 services24 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.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
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 53703 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.

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 Dawn Elfenbein's NPI number?

The NPI number for Dawn Elfenbein is 1548437163. It was assigned to this individual provider in the NPPES registry on May 13, 2008. The provider is also known as Dr. Dawn Marie Emick MD.

Where is Dawn Elfenbein located?

Dawn Elfenbein practices at 1515 Spaight St, Madison, WI 53703. The listed phone number is (410) 274-2658.

What is Dawn Elfenbein's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dawn Elfenbein enrolled in Medicare?

Yes. Dawn Elfenbein is registered in the Medicare PECOS enrollment system.

What insurance does Dawn Elfenbein accept?

Health plans from Anthem Blue Cross and Blue Shield list Dawn Elfenbein 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 Dawn Elfenbein affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Dawn Elfenbein was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.