Active NPI
John K Wollaeger, MD
- Orthopaedic Surgery Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 38147
- Practice address
- 1624 S High Point Rd
Madison, WI 53719-4401 - Phone
- (608) 287-2700
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 38147 | WI | Primary |
Addresses
Primary practice location
1624 S High Point Rd
Madison, WI 53719-4401
Mailing address
1624 S High Point Rd
Madison, WI 53719-4401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-7574
Hospital & facility affiliations
- Sauk Prairie Hospital
- University of Wi Hospitals & Clinics Authority
- Unitypoint Health - Meriter
- SSM Health St Clare Hospital - Baraboo
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 30 |
| Knee replacement | 34 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38147 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare, Inc. | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Past | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Orthopaedic Surgery | Past | Accepting new patients |
Locations
260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471
250 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2431
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Prairie Du Sac, WI
- NPI 1861466153
-
- Nurse Practitioner
- Prairie Du Sac, WI
- NPI 1093220246
-
- Certified Registered Nurse Anesthetist
- Prairie Du Sac, WI
- NPI 1396884474
-
- Family Medicine Physician
- Sauk City, WI
- NPI 1235163494
-
- Orthopaedic Surgery Physician
- Prairie Du Sac, WI
- NPI 1336488741
-
- Family Medicine Physician
- Spring Green, WI
- NPI 1609841568
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
-
- General Acute Care Hospital
- Prairie Du Sac, WI
- NPI 1861466153
-
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1740278860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 S HIGH POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537194401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 S HIGH POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537194401",
"telephone_number": "608-287-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLAEGER",
"first_name": "JOHN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "38147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.