ELLEN C SPIERING M.D.
NPI 1952322885
Family Medicine in Madison, WI

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
2402 WINNEBAGO ST, MADISON, WI 53704(608) 287-2832 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 24, 2022, Nov 24, 2021, Jan 15, 2021 (3 updates tracked since 2021).

About Ellen C Spiering M.d. NPPES

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

ELLEN C SPIERING M.D. (NPI 1952322885) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (43534-020) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952322885
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELLEN C SPIERINGCredential: M.D.
Location Address2402 WINNEBAGO STMadison, WI 53704-5341
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1996
Enumeration DateJuly 23, 2006
Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
NPI 1952322885 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 · 43534-020
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.

2402 WINNEBAGO ST, Madison, WI 53704

Secondary Practice Locations 2

Location 11020 35th St, Suite 100Kenosha, WI 53140-1902 · Phone (262) 652-3500 · Fax (262) 925-8353
Location 28400 Washington AveMount Pleasant, WI 53406-3735 · Phone (262) 884-4088 · Fax (262) 884-4078

Other Identifiers 4

Other1096289001WI · Diamond Provider Id
Medicaid34131700WI
Other81135WI · Dean S.e. Medicaid
Other81135WI · Childrens Comm. Health

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

Ellen C Spiering 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 ID1850494428
PECOS Enrollment IDI20070320000333
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
107 services105 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.
87 services86 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
42 services41 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.
37 services37 patients
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.
28 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Durable Medical Equipment & Medical Supplies
2402 WINNEBAGO ST
MADISON, WI 53704
Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Hospitalist
2402 WINNEBAGO ST
MADISON, WI 53704
Obstetrics & Gynecology
2402 WINNEBAGO ST
MADISON, WI 53704
Nurse Practitioner
2402 WINNEBAGO ST
MADISON, WI 53704
Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Internal Medicine
2402 WINNEBAGO ST
MADISON, WI 53704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952322885, enumerated as an "individual" on July 23, 2006.

The provider is located at 2402 WINNEBAGO ST MADISON, WI 53704 and the phone number is (608) 287-2832.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Group Health Cooperative-SCW, Medicare and. Please consult your insurance carrier or call the provider to verify.

Ellen Spiering is affiliated with: UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY.