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HELEN ELIZABETH BOX M.D.
NPI 1871657528
Family Medicine in Madison, WI

Active since December 20, 2006PECOS Enrolled
100/100
CMS Quality Rating
515 S MIDVALE BLVD, APT 301, MADISON, WI 53711(630) 805-4305 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2016, May 17, 2016 (2 updates tracked since 2016).

About Helen Elizabeth Box M.d. NPPES

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

HELEN ELIZABETH BOX M.D. (NPI 1871657528) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (32792) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871657528
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHELEN ELIZABETH BOXCredential: M.D.
Location Address515 S MIDVALE BLVD, APT 301Madison, WI 53711-1467
Mailing Address515 S Midvale Blvd, Apt 301Madison, WI 53711-1467 · (630) 805-4305
Phone(630) 805-4305
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateAugust 11, 20162 updates tracked since enumeration
✔ NPI 1871657528 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 · 32792✔ Licensed in IL · 036087439
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.
515 S MIDVALE BLVD, Madison, WI 53711
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Other Identifiers 1

Medicare UPINF18066IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Helen Elizabeth Box M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
$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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers25 claims76 services$5.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Helen Box's NPI number?

The NPI number for Helen Box is 1871657528. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Helen Box located?

Helen Box practices at 515 S Midvale Blvd Apt 301, Madison, WI 53711. The listed phone number is (630) 805-4305.

What is Helen Box's specialty?

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

Is Helen Box enrolled in Medicare?

Yes. Helen Box is registered in the Medicare PECOS enrollment system.

What insurance does Helen Box accept?

Health plans from CareSource (Common Ground Healthcare) list Helen Box 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 Helen Box was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.