DR. BERKIN OLCAY ULGEN MD
NPI 1982960191
Family Medicine - Sports Medicine in Altoona, WI
About Dr. Berkin Olcay Ulgen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BERKIN OLCAY ULGEN MD (NPI 1982960191) is an individual sports medicine provider in Altoona, Wisconsin, licensed in Wisconsin (62227) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Wayne State University School Of Medicine (2012).
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
Dr. Berkin Olcay Ulgen 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 Reassignment
Medicare enrollment records show Berkin Ulgen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Mary's Hospital - Madison
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54720 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.
Other Providers at the Same Location NPPES 9
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 Berkin Ulgen's NPI number?
The NPI number for Berkin Ulgen is 1982960191. It was assigned to this individual provider in the NPPES registry on April 2, 2012.
Where is Berkin Ulgen located?
Berkin Ulgen practices at 3119 Woodman Dr, Altoona, WI 54720. The listed phone number is (920) 469-4700.
What is Berkin Ulgen's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Berkin Ulgen enrolled in Medicare?
Yes. Berkin Ulgen 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 organization bills Medicare for Berkin Ulgen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Berkin Ulgen reassigns Medicare benefits to Dean Health Systems, Inc (Madison, WI). The 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 Berkin Ulgen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Berkin Ulgen accept?
Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Berkin Ulgen 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 Berkin Ulgen affiliated with any hospitals?
According to CMS data, Berkin Ulgen is affiliated with Ssm Health St Mary's Hospital - Madison.
When was this NPI record last updated?
The NPPES record for Berkin Ulgen was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Berkin Olcay Ulgen, MD · NPI 1982960191
Sports Medicine physician in Altoona, Wisconsin. Individual provider, active in the CMS NPPES registry since April 2, 2012.
## Identity
- **NPI:** 1982960191 (Entity type: Individual)
- **Enumerated:** April 2, 2012
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** 62227 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3119 WOODMAN DR, Altoona, WI 54720-2668
- **Phone:** (920) 469-4700
## 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:** Dean Health Systems, Inc (NPI 1053358846, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1982960191) · Data from the CMS NPPES public registry.