JAMES J PROSSER DO
NPI 1649235672
Orthopaedic Surgery in Madison, WI
About James J Prosser Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES J PROSSER DO (NPI 1649235672) is an individual orthopaedic surgery provider in Madison, Wisconsin, licensed in Wisconsin (48524-21) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and maintains a secondary practice location in Watertown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
James J Prosser Do 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unitypoint Health - Meriter
Acute Care Hospitals · Madison, WIEdgerton Hospital And Health Services
Critical Access Hospitals · Edgerton, WIUpland Hills Health
Critical Access Hospitals · Dodgeville, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
MADISON, WI 53713
MADISON, WI 53713
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 Prosser's NPI number?
The NPI number for James Prosser is 1649235672. It was assigned to this individual provider in the NPPES registry on April 20, 2006.
Where is James Prosser located?
James Prosser practices at 2501 W Beltline Hwy Ste 601, Madison, WI 53713. The listed phone number is (608) 234-7436.
What is James Prosser's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is James Prosser enrolled in Medicare?
Yes. James Prosser 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 James Prosser accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, HealthPartners and MercyCare Health Plans and 4 other insurers list James Prosser 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 James Prosser affiliated with any hospitals?
According to CMS data, James Prosser is affiliated with Unitypoint Health - Meriter, Edgerton Hospital And Health Services and Upland Hills Health.
When was this NPI record last updated?
The NPPES record for James Prosser was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
