JAMES C NETTUM MD
NPI 1619929700
Family Medicine in Madison, WI

Active since May 17, 2006PECOS Enrolled
1313 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 283-7160 Get Directions Write a Review

NPPES record last updated: September 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James C Nettum Md NPPES

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

JAMES C NETTUM MD (NPI 1619929700) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (29491-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619929700
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES C NETTUMCredential: MD
Location Address1313 FISH HATCHERY RDMadison, WI 53715-1911
Mailing Address1313 Fish Hatchery RdMadison, WI 53715-1911 · (608) 252-8000 · Fax (608) 283-7160
Fax(608) 283-7160
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateSeptember 19, 2011
NPI 1619929700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 29491-020
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1313 FISH HATCHERY RD, Madison, WI 53715

Other Identifiers 6

Medicare PIN080122821WI
Medicare PIN049774150WI
Medicare PIN024554340WI
Medicaid31462600WI
Other1983WI · Dean Health Insurance
Medicare UPINE50234

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

James C Nettum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
73%88 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
91%102 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%135 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
71%28 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims41 services$4.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
1313 FISH HATCHERY RD, SUITE 300
MADISON, WI 53715
Social Worker (Clinical)
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Social Worker (Clinical)
1313 FISH HATCHERY RD
MADISON, WI 53715
Pharmacist
1313 FISH HATCHERY RD
MADISON, WI 53715
Physician Assistant
1313 FISH HATCHERY RD
MADISON, WI 53715
Audiologist
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Social Worker (Clinical)
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1313 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 James Nettum's NPI number?

The NPI number for James Nettum is 1619929700. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is James Nettum located?

James Nettum practices at 1313 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is James Nettum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Nettum enrolled in Medicare?

Yes. James Nettum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Nettum was last updated on September 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.