JOHANNA POTERALA MD
NPI 1962908467
Internal Medicine - Hematology & Oncology in Madison, WI

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
1 S PARK ST, MADISON, WI 53715(608) 287-2552 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2024, Jul 10, 2024 (2 updates tracked since 2024).

About Johanna Poterala Md NPPES

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

JOHANNA POTERALA MD (NPI 1962908467) is an individual hematology & oncology provider in Madison, Wisconsin, licensed in Wisconsin (72404-20) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and is a graduate of Rush Medical College Of Rush University (2018).

NPPES Registry Identity

NPI1962908467
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameJOHANNA POTERALACredential: MD
Location Address1 S PARK STMadison, WI 53715-1375
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
NPI 1962908467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in WI · 72404-20
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1 S PARK ST, Madison, WI 53715

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

Johanna Poterala 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 ID8921355108
PECOS Enrollment IDI20240721000090
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 8

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.

Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
21 services19 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.
19 services15 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
19 services16 patients
Injection of additional new drug or substance into vein 96375
This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.
18 services13 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.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

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

Sauk Prairie Hospital

Acute Care Hospitals · Prairie Du Sac, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520095
Location260 26th StreetPrairie Du Sac, WI 53578 · Sauk 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 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

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.

Nurse Practitioner
1 S PARK ST
MADISON, WI 53715
Surgery
1 S PARK ST
MADISON, WI 53715
Urology
1 S PARK ST
MADISON, WI 53715
Internal Medicine (Rheumatology)
1 S PARK ST
MADISON, WI 53715
Audiologist
1 S PARK ST
MADISON, WI 53715
Nurse Practitioner
1 S PARK ST
MADISON, WI 53715
Radiology (Diagnostic Radiology)
1 S PARK ST
MADISON, WI 53715
Nurse Practitioner
1 S PARK ST
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 Johanna Poterala's NPI number?

The NPI number for Johanna Poterala is 1962908467. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Johanna Poterala located?

Johanna Poterala practices at 1 S Park St, Madison, WI 53715. The listed phone number is (608) 287-2552.

What is Johanna Poterala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Johanna Poterala enrolled in Medicare?

Yes. Johanna Poterala 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 Johanna Poterala accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Johanna Poterala 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 Johanna Poterala affiliated with any hospitals?

According to CMS data, Johanna Poterala is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd), Unitypoint Health - Meriter, Sauk Prairie Hospital and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Johanna Poterala was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.