GARRETT ALLEN MCNULTY MD
NPI 1902276355
Family Medicine in Madison, WI

Active since September 29, 2015PECOS EnrolledAccepts Medicare Assignment
1211 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 283-7160 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2024, Mar 13, 2023, Dec 11, 2020 and 3 more (6 updates tracked since 2015).

About Garrett Allen Mcnulty Md NPPES

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

GARRETT ALLEN MCNULTY MD (NPI 1902276355) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (64648-20) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and maintains a secondary practice location in Edgerton.

NPPES Registry Identity

NPI1902276355
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARRETT ALLEN MCNULTYCredential: MD
Location Address1211 FISH HATCHERY RDMadison, WI 53715-1909
Mailing Address1211 Fish Hatchery RdMadison, WI 53715-1909 · (608) 252-8000 · Fax (608) 283-7160
Fax(608) 283-7160
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 29, 2015
Last NPPES UpdateAugust 9, 20246 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1902276355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 64648-20
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.
1211 FISH HATCHERY RD, Madison, WI 53715

Secondary Practice Location 1

Location 111051 N Sherman RdEdgerton, WI 53534-9002 · Phone (608) 884-3354 · Fax (608) 884-5022

Other Identifiers 1

Medicaid1902276355WI

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

Garrett Allen Mcnulty 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 ID42511909
PECOS Enrollment IDI20151217001852
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 Garrett Mcnulty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
General Acute Care Hospital
1000 MINERAL POINT AVE
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
Multi-Specialty
888 S KING ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 664 clinicians in this Medicare group

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
213 services129 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.
200 services152 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
56 services56 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services14 patients
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.
20 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

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

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Edgerton Hospital And Health Services

Critical Access Hospitals · Edgerton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521319
Location11101 N Sherman RoadEdgerton, WI 53534 · Rock County
Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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.

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 suppliers14 claims51 services$4.65 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
1211 FISH HATCHERY RD
MADISON, WI 53715
Registered Nurse (Ambulatory Care)
1211 FISH HATCHERY RD
MADISON, WI 53715
Pediatrics
1211 FISH HATCHERY RD
MADISON, WI 53715
Otolaryngology
1211 FISH HATCHERY RD
MADISON, WI 53715
Dietitian, Registered
1211 FISH HATCHERY RD
MADISON, WI 53715
Allergy & Immunology
1211 FISH HATCHERY RD
MADISON, WI 53715
Physician Assistant
1211 FISH HATCHERY RD
MADISON, WI 53715
Pharmacist
1211 FISH HATCHERY RD
MADISON, WI 53715

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 Garrett Mcnulty's NPI number?

The NPI number for Garrett Mcnulty is 1902276355. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Where is Garrett Mcnulty located?

Garrett Mcnulty practices at 1211 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is Garrett Mcnulty's specialty?

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

Is Garrett Mcnulty enrolled in Medicare?

Yes. Garrett Mcnulty 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 Garrett Mcnulty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Garrett Mcnulty reassigns Medicare benefits to 3 organizations: Dean Health Systems, Inc (Madison, WI), Mercy Health System Corporation (Janesville, WI) and Straub Clinic & Hospital (Honolulu, HI). 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 Garrett Mcnulty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Garrett Mcnulty affiliated with any hospitals?

According to CMS data, Garrett Mcnulty is affiliated with Ssm Health St Clare Hospital - Baraboo, Ssm Health St Mary's Hospital - Madison, Ssm Health St Mary's Hospital - Janesville, Edgerton Hospital And Health Services and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Garrett Mcnulty was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.