CAROLINE HENSLEY MD
NPI 1679102537
Hospitalist in Madison, WI

Q: What is Caroline Hensley's NPI number?

The NPI number for Caroline Hensley is 1679102537. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Q: What is Caroline Hensley's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Hensley was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment

77.43/100

CMS Quality Rating

600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6400 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Caroline Hensley Md NPPES

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

CAROLINE HENSLEY MD (NPI 1679102537) is an individual hospitalist provider in Madison, Wisconsin, licensed in Wisconsin (76303-20) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Cincinnati College Of Medicine (2020).

NPPES Registry Identity

NPI1679102537

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameCAROLINE HENSLEYCredential: MD

Location Address600 HIGHLAND AVEMadison, WI 53792-1708

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 263-6400

Sole ProprietorYes

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2020

Enumeration DateApril 3, 2020

Last NPPES UpdateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1679102537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 76303-20

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 76303 (WI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

600 HIGHLAND AVE, Madison, WI 53792

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Quartz, UnitedHealthcare.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

Caroline Hensley 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 ID8628490489

PECOS Enrollment IDI20230714002110

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.

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 53792 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

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

Quality

81.83

Promoting Interoperability

Improvement Activities

Cost

62.12

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.

JASON ALAN CHRISTENSEN PHARMD

Pharmacist

600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792

Dane County (608) 662-0817

LAURA JEAN KOPPLIN MD, PHD

Ophthalmology