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KEN NOGUCHI MD, PHD
NPI 1871156737
Family Medicine in Madison, WI

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment
97.33/100
CMS Quality Rating
3209 DRYDEN DR, MADISON, WI 53704(608) 241-9020 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2025, Feb 3, 2025, Sep 8, 2022 and 1 more (4 updates tracked since 2019).

About Ken Noguchi Md, Phd NPPES

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

KEN NOGUCHI MD, PHD (NPI 1871156737) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (84946) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains a secondary practice location in Winner.

NPPES Registry Identity

NPI1871156737
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEN NOGUCHICredential: MD, PHD
Location Address3209 DRYDEN DRMadison, WI 53704-3015
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 241-9020
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2019
Enumeration DateApril 17, 2019
Last NPPES UpdateJune 16, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1871156737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 84946✔ Licensed in SD · 13609
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.
3209 DRYDEN DR, Madison, WI 53704
Open in Google Maps ↗

Secondary Practice Location 1

Location 1745 E 8th StWinner, SD 57580-2677 · Phone (605) 842-3537

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Avera Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ken Noguchi Md, Phd 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 ID2961884952
PECOS Enrollment IDI20250203001360
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ken Noguchi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Wisconsin Medical Foundation, Inc
8.6 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485
Horizon Health Care Inc
368 mi
Federally Qualified Health Center (FQHC)
104 W 2ND ST
Alcester, SD 57001
  • Reassigned Medicare billing, South Dakota enrollment
  • 67 clinicians in this Medicare group
NPI 1598293482 (605) 934-2122
Winner Regional Healthcare Center
529 mi
Critical Access
745 E 8TH ST
Winner, SD 57580
  • Reassigned Medicare billing, South Dakota enrollment
  • 41 clinicians in this Medicare group
NPI 1538233549 (605) 842-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
47 services27 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.
23 services21 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

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

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 53704 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.

97.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.25
Promoting Interoperability96
Improvement Activities40

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.

MARY ZEITLER MD
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
MARIANA GANDOLFO BUSTAMANTE MS, RDN, CD
Dietitian, Registered
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
SAVANNAH NOELLE RIOS MD
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
RICHARD L BROWN MD
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
AIDAN CHENG KHODA DO
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
RITA LILIANE HENIEN BYBEE DO
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
ASHLEY MARIE LANZAROTTI DO
Student in an Organized Health Care Education/Training Program
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020
DR. KATRINA WEIMER M.D.
Family Medicine
3209 DRYDEN DR
MADISON, WI 53704
Dane County (608) 241-9020

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 Ken Noguchi's NPI number?

The NPI number for Ken Noguchi is 1871156737. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Ken Noguchi located?

Ken Noguchi practices at 3209 Dryden Dr, Madison, WI 53704. The listed phone number is (608) 241-9020.

What is Ken Noguchi's specialty?

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

Is Ken Noguchi enrolled in Medicare?

Yes. Ken Noguchi 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.

Which organizations bill Medicare for Ken Noguchi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ken Noguchi reassigns Medicare benefits to 3 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI), Horizon Health Care Inc (Alcester, SD) and Winner Regional Healthcare Center (Winner, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ken Noguchi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ken Noguchi accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Avera Health Plans, Dean Health Plan and Group Health Cooperative-SCW and 3 other insurers list Ken Noguchi 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 Ken Noguchi affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Ken Noguchi was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.