KATHY A ORIEL MD
NPI 1720044696
Family Medicine in Madison, WI

Q: What is Kathy Oriel's NPI number?

The NPI number for Kathy Oriel is 1720044696. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is Kathy Oriel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathy Oriel was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 21, 2006PECOS EnrolledAccepts Medicare Assignment

5231 UNIVERSITY AVE, MADISON, WI 53705(608) 238-0100(608) 238-7550 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kathy A Oriel Md NPPES

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

KATHY A ORIEL MD (NPI 1720044696) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (36704) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of University Of Missouri, Columbia School Of Medicine (1992).

NPPES Registry Identity

NPI1720044696

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKATHY A ORIELCredential: MD

Location Address5231 UNIVERSITY AVEMadison, WI 53705-1361

Mailing Address5231 University AveMadison, WI 53705-1361 · (608) 238-0100 · Fax (608) 238-7550

Phone(608) 238-0100

Fax(608) 238-7550

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1992

Enumeration DateApril 21, 2006

Last NPPES UpdateFebruary 4, 2021

NPPES CertifiedFebruary 4, 2021

✔ NPI 1720044696 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 · 36704

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.

5231 UNIVERSITY AVE, Madison, WI 53705

Open in Google Maps ↗

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

Kathy A Oriel 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 ID9133032428

PECOS Enrollment IDI20090819000633

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

42 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services30 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

26 services24 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

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 53705 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

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

31%26 patients2/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

23%35 patients2/55-star benchmark: 85%

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORIEL MEDICINE S.C.

Family Medicine

5231 UNIVERSITY AVE
MADISON, WI 53705

Dane County (608) 238-0100

OUT HEALTH INC.

Family Medicine

5231 UNIVERSITY AVE
MADISON, WI 53705

Dane County (608) 238-0100

MILEN MATEV

Dentist (General Practice)

5231 UNIVERSITY AVE
MADISON, WI 53705

Dane County (608) 238-1739

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 Kathy Oriel's NPI number?

The NPI number for Kathy Oriel is 1720044696. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Kathy Oriel located?

Kathy Oriel practices at 5231 University Ave, Madison, WI 53705. The listed phone number is (608) 238-0100.

What is Kathy Oriel's specialty?

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

Is Kathy Oriel enrolled in Medicare?

Yes. Kathy Oriel 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.

Is Kathy Oriel affiliated with any hospitals?

According to CMS data, Kathy Oriel is affiliated with Ssm Health St Mary's Hospital - Madison and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Kathy Oriel was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.