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MARY S ALVARADO MD
NPI 1962404194
Obstetrics & Gynecology in La Crosse, WI

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
700 WEST AVENUE S, LA CROSSE, WI 54601(608) 785-0940 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2022, Oct 20, 2022, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Mary S Alvarado Md NPPES

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

MARY S ALVARADO MD (NPI 1962404194) is an individual obstetrics & gynecology provider in La Crosse, Wisconsin, licensed in Wisconsin (47224) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and maintains a secondary practice location in Waco.

NPPES Registry Identity

NPI1962404194
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY S ALVARADOCredential: MD
Location Address700 WEST AVENUE SLa Crosse, WI 54601-8806
Mailing Address200 1st St SwRochester, MN 55905-0001 · (608) 785-0940
Phone(608) 785-0940
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1996
Enumeration DateJune 1, 2005
Last NPPES UpdateNovember 17, 20224 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1962404194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in WI · 47224✔ Licensed in TX · K7423
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

700 WEST AVENUE S, La Crosse, WI 54601
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Secondary Practice Location 1

Location 1601 W State Highway 6 Ste 101Waco, TX 76710-5592 · Phone (254) 772-5454

Other Identifiers 1

Medicaid34584800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Security Health Plan.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

Mary S Alvarado 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 ID8325000672
PECOS Enrollment IDI20041029000580
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 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.

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.
55 services45 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.
38 services38 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 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520004
Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521305
Location310 W Main StSparta, WI 54656 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
73%143 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
79%582 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%824 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%601 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%1,042 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%634 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 524 patients
87%524 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%1,042 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
44%1,042 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
62%1,042 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KIRSTEN L. DETTWILER PT
Physical Therapist
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 392-9768
MRS. ERIN M HEBRINK OT
Occupational Therapist (Mental Health)
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 392-9768
ERIC D GRUBE DO
Emergency Medicine
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 392-7000
HEATHER S RABE OTR
Occupational Therapist
700 WEST AVENUE S
LACROSSE, WI 54601
La Crosse County (608) 791-9768
DELANEY COLLINS SLP
Speech-Language Pathologist
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
SUMMER L BERG LICSW
Social Worker (Clinical)
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
MRS. LENA MARIE WRIGHT DICKERSON PA-C
Physician Assistant
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
MICHELLE MOTTE VALIQUETTE PA-C
Physician Assistant
700 WEST AVENUE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940

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 Mary Alvarado's NPI number?

The NPI number for Mary Alvarado is 1962404194. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Mary Alvarado located?

Mary Alvarado practices at 700 West Avenue S, La Crosse, WI 54601. The listed phone number is (608) 785-0940.

What is Mary Alvarado's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mary Alvarado enrolled in Medicare?

Yes. Mary Alvarado 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.

What insurance does Mary Alvarado accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Security Health Plan list Mary Alvarado 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 Mary Alvarado affiliated with any hospitals?

According to CMS data, Mary Alvarado is affiliated with Mayo Clinic Health System-Franciscan Medical Center Inc and Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta.

When was this NPI record last updated?

The NPPES record for Mary Alvarado was last updated on November 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.