CAROLYN MARIE SLEETH MD
NPI 1609372101
Pediatrics in Madison, WI

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
20 S PARK ST, MADISON, WI 53715(608) 287-2580 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2022, Sep 22, 2021 (2 updates tracked since 2021).

About Carolyn Marie Sleeth Md NPPES

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

CAROLYN MARIE SLEETH MD (NPI 1609372101) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (72743) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2018).

NPPES Registry Identity

NPI1609372101
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROLYN MARIE SLEETHCredential: MD
Location Address20 S PARK STMadison, WI 53715-1348
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1609372101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 72743
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
20 S PARK ST, Madison, WI 53715

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

Carolyn Marie Sleeth 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 ID8628325701
PECOS Enrollment IDI20210729002289
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.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Sleeth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 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.

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
$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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Psychiatry & Neurology (Neurology)
20 S PARK ST
MADISON, WI 53715
Obstetrics & Gynecology
20 S PARK ST, OB/GYN CLINIC
MADISON, WI 53715
Internal Medicine
20 S PARK ST
MADISON, WI 53715
Physician Assistant (Medical)
20 S PARK ST
MADISON, WI 53715
Pediatrics
20 S PARK ST
MADISON, WI 53715
Physician Assistant (Medical)
20 S PARK ST
MADISON, WI 53715
Obstetrics & Gynecology
20 S PARK ST
MADISON, WI 53715
Psychologist
20 S PARK ST
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 Carolyn Sleeth's NPI number?

The NPI number for Carolyn Sleeth is 1609372101. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Carolyn Sleeth located?

Carolyn Sleeth practices at 20 S Park St, Madison, WI 53715. The listed phone number is (608) 287-2580.

What is Carolyn Sleeth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carolyn Sleeth enrolled in Medicare?

Yes. Carolyn Sleeth 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 organization bills Medicare for Carolyn Sleeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Sleeth reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, WI). The 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 Carolyn Sleeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Sleeth accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Quartz and Security Health Plan list Carolyn Sleeth 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 Carolyn Sleeth was last updated on January 12, 2022. 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.