BENJAMIN TODD GILLESPIE DO
NPI 1841421872
Physical Medicine & Rehabilitation in Middleton, WI

Active since August 08, 2009PECOS EnrolledAccepts Medicare Assignment
6630 UNIVERSITY AVE, MIDDLETON, WI 53562(608) 263-6540(608) 263-5011 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2021, Dec 15, 2017, Jul 27, 2017 (3 updates tracked since 2017).

About Benjamin Todd Gillespie Do NPPES

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

BENJAMIN TODD GILLESPIE DO (NPI 1841421872) is an individual physical medicine & rehabilitation provider in Middleton, Wisconsin, licensed in Wisconsin (67242-21) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1841421872
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameBENJAMIN TODD GILLESPIECredential: DO
Location Address6630 UNIVERSITY AVEMiddleton, WI 53562-3036
Mailing Address7974 Uw Health CourtMiddleton, WI 53562-5356 · (608) 829-5485
Fax(608) 263-5011
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2009
Enumeration DateAugust 8, 2009
Last NPPES UpdateJanuary 29, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
NPI 1841421872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in WI · 67242-21
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
6630 UNIVERSITY AVE, Middleton, WI 53562

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

Benjamin Todd Gillespie Do 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 ID42444069
PECOS Enrollment IDI20170424001541
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,538 services276 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
154 services150 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
94 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
64 services64 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
26 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Sauk Prairie Hospital

Acute Care Hospitals · Prairie Du Sac, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520095
Location260 26th StreetPrairie Du Sac, WI 53578 · Sauk 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

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers24 claims24 services$56.05 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
2 suppliers22 claims22 services$10.07 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers25 claims25 services$56.96 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$784.55 avg. paid by Medicare
Manual wheelchair accessory, wheel lock brake extension (handle), each E0961
DME-Wheelchairs · category DD021N
3 suppliers12 claims24 services$19.88 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
3 suppliers27 claims53 services$31.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist (Orthopedic)
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Physical Therapist
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Speech-Language Pathologist
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Occupational Therapist
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Speech-Language Pathologist
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Physical Medicine & Rehabilitation
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Physical Therapist
6630 UNIVERSITY AVE
MIDDLETON, WI 53562
Speech-Language Pathologist
6630 UNIVERSITY AVE, MIDDLETON REHAB CLINIC
MIDDLETON, WI 53562

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 Benjamin Gillespie's NPI number?

The NPI number for Benjamin Gillespie is 1841421872. It was assigned to this individual provider in the NPPES registry on August 8, 2009.

Where is Benjamin Gillespie located?

Benjamin Gillespie practices at 6630 University Ave, Middleton, WI 53562. The listed phone number is (608) 263-6540.

What is Benjamin Gillespie's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Benjamin Gillespie enrolled in Medicare?

Yes. Benjamin Gillespie 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 Benjamin Gillespie accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Quartz and Security Health Plan list Benjamin Gillespie 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 Benjamin Gillespie affiliated with any hospitals?

According to CMS data, Benjamin Gillespie is affiliated with Fort Memorial Hospital, Unitypoint Health - Meriter, Sauk Prairie Hospital, University Of Wi Hospitals & Clinics Authority and Columbus Community Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Gillespie was last updated on January 29, 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.