SUSAN M LEPINSKI MD
NPI 1780650713
Internal Medicine - Gastroenterology in Madison, WI

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
81.06/100
CMS Quality Rating
202 S PARK ST, MADISON, WI 53715(608) 417-5454 Get Directions Write a Review

NPPES record last updated: December 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan M Lepinski Md NPPES

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

SUSAN M LEPINSKI MD (NPI 1780650713) is an individual gastroenterology provider in Madison, Wisconsin, licensed in Wisconsin (26825) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1984).

NPPES Registry Identity

NPI1780650713
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSUSAN M LEPINSKICredential: MD
Location Address202 S PARK STMadison, WI 53715-1507
Mailing Address202 S Park StMadison, WI 53715-1507
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1984
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 14, 2012
NPI 1780650713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in WI · 26825
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
202 S PARK ST, Madison, WI 53715

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

Susan M Lepinski 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 ID143350827
PECOS Enrollment IDI20100607000126
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
13 services13 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

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
$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.

81.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.09
Promoting Interoperability99
Improvement Activities40
Cost49.62

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.

Nurse Practitioner
202 S PARK ST
MADISON, WI 53715
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Registered Nurse
202 S PARK ST
MADISON, WI 53715
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Physician Assistant (Medical)
202 S PARK ST, MERITER ATRIUM
MADISON, WI 53715
Anesthesiology
202 S PARK ST, 4 TOWER
MADISON, WI 53715
Physical Therapist
202 S PARK ST
MADISON, WI 53715
Internal Medicine (Critical Care Medicine)
202 S PARK ST
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 Susan Lepinski's NPI number?

The NPI number for Susan Lepinski is 1780650713. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Susan Lepinski located?

Susan Lepinski practices at 202 S Park St, Madison, WI 53715. The listed phone number is (608) 417-5454.

What is Susan Lepinski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Susan Lepinski enrolled in Medicare?

Yes. Susan Lepinski 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 Susan Lepinski accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Susan Lepinski 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 Susan Lepinski affiliated with any hospitals?

According to CMS data, Susan Lepinski is affiliated with Aspirus Wausau Hospital and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for Susan Lepinski was last updated on December 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.