KRISTOPHER S DENBY MD
NPI 1790125029
Dermatology in Fitchburg, WI

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
80.22/100
CMS Quality Rating
3051 CAHILL MAIN, FITCHBURG, WI 53711(608) 661-7200 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristopher S Denby Md NPPES

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

KRISTOPHER S DENBY MD (NPI 1790125029) is an individual dermatology provider in Fitchburg, Wisconsin, licensed in Wisconsin (67642-20) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2011).

NPPES Registry Identity

NPI1790125029
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameKRISTOPHER S DENBYCredential: MD
Location Address3051 CAHILL MAINFitchburg, WI 53711-7109
Mailing Address3051 Cahill MainFitchburg, WI 53711-7109 · (608) 661-7200
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2011
Enumeration DateJuly 1, 2013
Last NPPES UpdateApril 9, 2018
NPI 1790125029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WI · 67642-20
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3051 CAHILL MAIN, Fitchburg, WI 53711

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

Kristopher S Denby 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 ID7911299292
PECOS Enrollment IDI20170927003164
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 14

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
308 services61 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
282 services221 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
128 services99 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
117 services97 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
52 services48 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53711 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.

80.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.06
Promoting Interoperability99
Improvement Activities40
Cost49.83

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.

Dietitian, Registered
3051 CAHILL MAIN
FITCHBURG, WI 53711
Optometrist
3051 CAHILL MAIN
FITCHBURG, WI 53711
Occupational Therapist
3051 CAHILL MAIN
FITCHBURG, WI 53711
Social Worker (Clinical)
3051 CAHILL MAIN
FITCHBURG, WI 53711
Specialist
3051 CAHILL MAIN
FITCHBURG, WI 53711
Specialist
3051 CAHILL MAIN
FITCHBURG, WI 53711
Physician Assistant
3051 CAHILL MAIN
FITCHBURG, WI 53711
Acupuncturist
3051 CAHILL MAIN
FITCHBURG, WI 53711

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 Kristopher Denby's NPI number?

The NPI number for Kristopher Denby is 1790125029. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Kristopher Denby located?

Kristopher Denby practices at 3051 Cahill Main, Fitchburg, WI 53711. The listed phone number is (608) 661-7200.

What is Kristopher Denby's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kristopher Denby enrolled in Medicare?

Yes. Kristopher Denby 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 Kristopher Denby accept?

Health plans from Group Health Cooperative-SCW list Kristopher Denby 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.

When was this NPI record last updated?

The NPPES record for Kristopher Denby was last updated on April 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.