DR. JAMES STEVEN DAHM MD
NPI 1649763947
Orthopaedic Surgery in Madison, WI

Active since June 11, 2018PECOS EnrolledAccepts Medicare Assignment
54.97/100
CMS Quality Rating
2501 W BELTLINE HWY STE 601, MADISON, WI 53713(608) 234-7436(866) 939-2673 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2025, Dec 31, 2024, Jun 11, 2018 (3 updates tracked since 2018).

About Dr. James Steven Dahm Md NPPES

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

DR. JAMES STEVEN DAHM MD (NPI 1649763947) is an individual orthopaedic surgery provider in Madison, Wisconsin, licensed in Wisconsin (83493) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Edgerton Hospital And Health Services, and maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1649763947
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES STEVEN DAHMCredential: MD
Location Address2501 W BELTLINE HWY STE 601Madison, WI 53713-2309
Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (866) 974-2673 · Fax (866) 939-2673
Fax(866) 939-2673
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 11, 2018
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1649763947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in WI · 83493✔ Licensed in IL · 125.071697
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.
2501 W BELTLINE HWY STE 601, Madison, WI 53713

Secondary Practice Location 1

Location 1123 Hospital Dr Ste 1008Watertown, WI 53098-3320 · Phone (920) 206-6500 · Fax (920) 261-4013

Other Identifiers 1

Medicaid100277039WI

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

Dr. James Steven Dahm 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 ID8628325453
PECOS Enrollment IDI20240607001296
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 Reassignments

7

Medicare enrollment records show James Dahm reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
2501 W BELTLINE HWY STE 601
Madison, WI 53713
  • Reassigned Medicare billing, Wisconsin enrollment
  • 20 clinicians in this Medicare group
Family Medicine
1809 SPRINGDALE STREET
Mount Horeb, WI 53572
  • Reassigned Medicare billing, Wisconsin enrollment
  • 166 clinicians in this Medicare group
Urgent Care
4 BURDICK ST
Edgerton, WI 53534
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1154350049 (Wisconsin)
  • 70 clinicians in this Medicare group
Family Medicine
1580 W JAMES ST
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Beaver Dam Community Hospitals Inc.
  • 1,447 clinicians in this Medicare group
Family Medicine
1321 CRESTON PARK DR
Janesville, WI 53545
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
Clinic/Center
440 24TH ST S
Wisconsin Rapids, WI 54494
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 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.

Hospital Affiliations CMS Care Compare 2

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

Edgerton Hospital And Health Services

Critical Access Hospitals · Edgerton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521319
Location11101 N Sherman RoadEdgerton, WI 53534 · Rock County
Emergency services

Upland Hills Health

Critical Access Hospitals · Dodgeville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521352
Location800 Compassion WayDodgeville, WI 53533 · Iowa County
Emergency services

Physician 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.

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.

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.

54.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality36.71
Promoting Interoperability78
Improvement Activities40
Cost31.53

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.

Orthopaedic Surgery
2501 W BELTLINE HWY STE 601
MADISON, WI 53713
Physical Therapist
2501 W BELTLINE HWY STE 601
MADISON, WI 53713
Specialist
2501 W BELTLINE HWY STE 601
MADISON, WI 53713
Durable Medical Equipment & Medical Supplies
2501 W BELTLINE HWY STE 601
MADISON, WI 53713
Orthopaedic Surgery
2501 W BELTLINE HWY STE 601
MADISON, WI 53713
Physician Assistant
2501 W BELTLINE HWY STE 601
MADISON, WI 53713
Physician Assistant
2501 W BELTLINE HWY STE 601
MADISON, WI 53713
Orthopaedic Surgery
2501 W BELTLINE HWY STE 601
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 Dahm's NPI number?

The NPI number for James Dahm is 1649763947. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is James Dahm located?

James Dahm practices at 2501 W Beltline Hwy Ste 601, Madison, WI 53713. The listed phone number is (608) 234-7436.

What is James Dahm's specialty?

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

Is James Dahm enrolled in Medicare?

Yes. James Dahm 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 organizations bill Medicare for James Dahm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Dahm reassigns Medicare benefits to 7 organizations: Orthopedic & Spine Centers Of Wisconsin, Sc. (Madison, WI), Upland Hills Health, Inc (Mount Horeb, WI), Edgerton Hospital And Health Services (Edgerton, WI), Beaver Dam Community Hosptials Inc (Columbus, WI), Beloit Health System, Inc (Janesville, WI) and 2 more organizations, listed in the Medicare section above. Each 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 James Dahm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Dahm accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Group Health Cooperative-SCW and MercyCare Health Plans and 2 other insurers list James Dahm 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 Dahm affiliated with any hospitals?

According to CMS data, James Dahm is affiliated with Edgerton Hospital And Health Services and Upland Hills Health.

When was this NPI record last updated?

The NPPES record for James Dahm was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.