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CLARE ELIZABETH O'CONNOR MD
NPI 1992123178
Internal Medicine - Endocrinology, Diabetes & Metabolism in Madison, WI

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
5249 E TERRACE DR, MADISON, WI 53718(608) 265-7406(608) 265-7519 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2021, Oct 8, 2019, Nov 29, 2018 and 1 more (4 updates tracked since 2017).

About Clare Elizabeth O'connor Md NPPES

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

CLARE ELIZABETH O'CONNOR MD (NPI 1992123178) is an individual endocrinology, diabetes & metabolism provider in Madison, Wisconsin, licensed in Wisconsin (65508-20) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Wisconsin School Of Medicine (2014).

NPPES Registry Identity

NPI1992123178
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameCLARE ELIZABETH O'CONNORCredential: MD
Location Address5249 E TERRACE DRMadison, WI 53718-8339
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 265-7406
Fax(608) 265-7519
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateJanuary 22, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1992123178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in WI · 65508-20✔ Licensed in IL · 036143104
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
5249 E TERRACE DR, Madison, WI 53718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Clare Elizabeth O'connor 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 ID4789988262
PECOS Enrollment IDI20191011002623
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 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.

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.
131 services123 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.
94 services70 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
60 services46 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.
46 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 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.
21 services19 patients

Hospital Affiliations CMS Care Compare 3

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

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

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

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers73 claims912 services$18.17 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers74 claims2,240 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
21 suppliers45 claims213 services$6.04 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers17 claims17 services$332.96 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
14 suppliers42 claims5,010 services$7.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
26 suppliers408 claims415 services$183.19 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.

MARCIA ANGELA BOLLES PA-C
Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 222-9777
MS. RABECCA CATHERINE COLE LCSW
Social Worker (Clinical)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 251-4156
DR. NORANN RICHARD PHD
Psychologist
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550
DANIELLE OGNO MS
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 222-9777
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Pharmacy
5249 E TERRACE DR, SUITE 9951
MADISON, WI 53718
Dane County (608) 265-1650
DR. DORTHEA LORINE WHEELER MD, PHD
Psychiatry & Neurology (Psychiatry)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 251-4156
LAUREN JERZAK FNP-BC, APNP
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 265-1200
MICHAEL N SKAREDOFF MD
Anesthesiology (Pain Medicine)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550

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 Clare O'connor's NPI number?

The NPI number for Clare O'connor is 1992123178. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Clare O'connor located?

Clare O'connor practices at 5249 E Terrace Dr, Madison, WI 53718. The listed phone number is (608) 265-7406.

What is Clare O'connor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Clare O'connor enrolled in Medicare?

Yes. Clare O'connor 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 Clare O'connor 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 Clare O'connor 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 Clare O'connor affiliated with any hospitals?

According to CMS data, Clare O'connor is affiliated with Unitypoint Health - Meriter, University Of Wi Hospitals & Clinics Authority and Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Clare O'connor was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.