LOUIS A SANNER MD
NPI 1972564870
Family Medicine in Madison, WI

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
2402 WINNEBAGO ST, MADISON, WI 53704(608) 242-6855 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2023, Feb 13, 2022, Feb 10, 2021 (3 updates tracked since 2021).

About Louis A Sanner Md NPPES

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

LOUIS A SANNER MD (NPI 1972564870) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (29389) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1983).

NPPES Registry Identity

NPI1972564870
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLOUIS A SANNERCredential: MD
Location Address2402 WINNEBAGO STMadison, WI 53704-5341
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1983
Enumeration DateMarch 30, 2006
Last NPPES UpdateMay 17, 20233 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
NPI 1972564870 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 · 29389
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

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

Louis A Sanner 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 ID4385798412
PECOS Enrollment IDI20090824000526
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

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 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.
18 services18 patients

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

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
5 suppliers13 claims72 services$4.72 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.

Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Nurse Practitioner
2402 WINNEBAGO ST
MADISON, WI 53704
Family Medicine
2402 WINNEBAGO ST
MADISON, WI 53704
Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Family Medicine
2402 WINNEBAGO ST
MADISON, WI 53704
Nurse Practitioner
2402 WINNEBAGO ST
MADISON, WI 53704
Family Medicine
2402 WINNEBAGO ST
MADISON, WI 53704

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 Louis Sanner's NPI number?

The NPI number for Louis Sanner is 1972564870. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Louis Sanner located?

Louis Sanner practices at 2402 Winnebago St, Madison, WI 53704. The listed phone number is (608) 242-6855.

What is Louis Sanner's specialty?

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

Is Louis Sanner enrolled in Medicare?

Yes. Louis Sanner 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 Louis Sanner accept?

Health plans from Group Health Cooperative-SCW list Louis Sanner 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.

When was this NPI record last updated?

The NPPES record for Louis Sanner was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.