JOHN ARCE MD
NPI 1962856013
Hospitalist in Madison, WI
About John Arce Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ARCE MD (NPI 1962856013) is an individual hospitalist provider in Madison, Wisconsin, licensed in Wisconsin (67836-20) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Medical College Of Wisconsin (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
John Arce 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.
Medicare Billing Reassignments
3Medicare enrollment records show John Arce reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 164 clinicians in this Medicare group
Wisconsin Rapids, WI 54494
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 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 6
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.
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, WIUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician 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.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 John Arce's NPI number?
The NPI number for John Arce is 1962856013. It was assigned to this individual provider in the NPPES registry on April 14, 2016.
Where is John Arce located?
John Arce practices at 202 S Park St, Madison, WI 53715. The listed phone number is (608) 417-5695.
What is John Arce's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is John Arce enrolled in Medicare?
Yes. John Arce 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 John Arce's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Arce reassigns Medicare benefits to 3 organizations: Meriter Hospital, Inc. (Madison, WI), Mchs Hospitals Inc (Wisconsin Rapids, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 John Arce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Arce accept?
Health plans from Group Health Cooperative-SCW list John Arce 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 John Arce affiliated with any hospitals?
According to CMS data, John Arce is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for John Arce was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# John Arce, MD · NPI 1962856013
Hospitalist physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 14, 2016.
## Identity
- **NPI:** 1962856013 (Entity type: Individual)
- **Enumerated:** April 14, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 67836-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 202 S PARK ST, Madison, WI 53715-1596
- **Phone:** (608) 417-5695 · **Fax:** (608) 417-5890
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Meriter Hospital, Inc. (NPI 1548280225, Madison, WI); Mchs Hospitals Inc (NPI 1568188589, Wisconsin Rapids, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2016
## Record status
- **NPPES last updated:** April 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962856013) · Data from the CMS NPPES public registry.