DR. LISA MARIE KRUSE M.D.
NPI 1891923777
Orthopaedic Surgery - Hand Surgery in Madison, WI

Q: What is Lisa Kruse's NPI number?

The NPI number for Lisa Kruse is 1891923777. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Q: What is Lisa Kruse's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Kruse 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.

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment

4602 EASTPARK BLVD, MADISON, WI 53718(608) 263-7540(608) 662-4545 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 29, 2021, Aug 30, 2017, Aug 11, 2016 and 1 more (4 updates tracked since 2016).

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About Dr. Lisa Marie Kruse M.d. NPPES

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

DR. LISA MARIE KRUSE M.D. (NPI 1891923777) is an individual hand surgery provider in Madison, Wisconsin, licensed in Wisconsin (67384) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Washington University School Of Medicine (2009).

NPPES Registry Identity

NPI1891923777

Entity TypeIndividualFemale

Primary Taxonomy207XS0106X

Provider Legal NameDR. LISA MARIE KRUSECredential: M.D.

Location Address4602 EASTPARK BLVDMadison, WI 53718-2002

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 263-7540

Fax(608) 662-4545

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 2009

Enumeration DateJune 30, 2009

Last NPPES UpdateJanuary 29, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2021

✔ NPI 1891923777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in WI · 67384

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2016-00271 (NC), 2009013401 (MO)

4602 EASTPARK BLVD, Madison, WI 53718

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Other Identifiers 2

Medicaid1891923777NC

MedicaidNC2699SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW 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

Dr. Lisa Marie Kruse M.d. 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 ID3577792902

PECOS Enrollment IDI20170922001526

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

Medicare enrollment records show Lisa Kruse reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Wisconsin Medical Foundation, Inc

12 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

Carolinas Medical Center

700 mi

Psychiatry

16740 DAVIDSON CONCORD RD, STE 200
Davidson, NC 28036

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1629412184 (704) 801-9200

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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

216 services171 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

71 services45 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

67 services46 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.

64 services64 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

54 services51 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

43 services21 patients

Hospital Affiliations CMS Care Compare 2

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

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 53718 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.

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.

Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913

DME-Orthotic Devices · category DF000N

1 supplier17 claims17 services$102.33 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.

ELISE KREGER

Physician Assistant