Active NPI 1013972579 Individual Practitioner Male Practitioner

Dr. Michael K Abernethy , MD

Emergency Medicine • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Abernethy, MD is a certified Emergency Medicine practicing in Madison, WI. With approximately 38 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1988, Dr. Abernethy delivers high-quality medical care to the local community at 600 HIGHLAND AVE.

Dr. Abernethy is affiliated with Southern Wisconsin Emergency Associates Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Highland Ave

Madison, WI 53792

Telephone 6082622398

Fax 6082629999

Associated Practice Facility / Clinic

🏢 University Of Wisconsin Medical Foundation Facility NPI 1528029204

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Madison, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +23.1 yrs vs City Avg

City Avg: 14.9 Yrs

State Avg: 19.8 Yrs

Regional Practice Density

244 Specialists

Practicing in Madison, WI (1497 Statewide)

Telehealth Adoption Rate

0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Abernethy (38 Years) 38 Yrs

Madison Specialty Average (14.9 Years) 14.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	57	$456.00	$122.38
99285 Emergency department visit for life threatening or functioning severity	61	56	$1223.00	$159.82
99284 Emergency department visit with moderate level of medical decision making	51	45	$822.00	$110.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$913.00	$158.10
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	35	33	$159.00	$7.55
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$292.00	$86.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$563.00	$107.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	60	$456.00	$122.82
99284 Emergency department visit with moderate level of medical decision making	45	44	$822.00	$112.25
99285 Emergency department visit for life threatening or functioning severity	44	44	$1221.66	$162.90
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	24	$159.00	$7.68
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$292.00	$86.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	43	41	$782.00	$114.05
99285 Emergency department visit for life threatening or functioning severity	35	35	$1164.00	$165.35
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	29	$151.00	$7.87
99283 Emergency department visit with low level of medical decision making	21	21	$525.00	$67.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	73	72	$759.00	$116.15
99285 Emergency department visit for life threatening or functioning severity	60	59	$1130.00	$168.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	37	37	$146.00	$8.01
99283 Emergency department visit with low level of medical decision making	31	30	$509.00	$68.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	94	91	$1102.00	$165.06
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	92	88	$142.00	$8.26
99284 Emergency department visit with moderate level of medical decision making	84	83	$740.00	$113.84
99283 Emergency department visit with low level of medical decision making	38	38	$496.00	$62.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	177	175	$893.72	$166.09
99284 Emergency department visit with moderate level of medical decision making	95	93	$624.99	$111.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	51	49	$137.00	$8.24
99283 Emergency department visit with low level of medical decision making	24	24	$449.75	$59.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	131	129	$918.20	$164.32
99284 Emergency department visit with moderate level of medical decision making	118	116	$623.78	$111.01
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	67	63	$133.00	$8.18
99283 Emergency department visit with low level of medical decision making	54	53	$442.56	$58.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	143	142	$891.80	$165.20
99284 Emergency department visit with moderate level of medical decision making	88	84	$608.27	$112.15
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	76	75	$129.00	$8.20
99283 Emergency department visit with low level of medical decision making	43	42	$416.53	$59.14

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License WI 33145

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Southern Wisconsin Emergency Associates Sc

1969 W Hart Rd, Beloit, WI 535112230

Phone: 6083645566

Southern Wisconsin Emergency Associates Sc

5605 E Rockton Rd, Roscoe, IL 610737601

Phone: 8155254100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Kendra Fabian , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003294547

Doctor of Medicine (M.D.)

Stacy Kegel , PA-C

Physician Assistant - Medical

NPI 1003400409

Physician Assistant (Certified)

Dr. Colleen Andrews , MD

Emergency Medicine

NPI 1013578731

Doctor of Medicine (M.D.)

Ashley Vanderbosch , PA-C

Physician Assistant - Medical

NPI 1023587441

Physician Assistant (Certified)

Dr. Aaron Kraut , MD

Emergency Medicine

NPI 1033406046

Doctor of Medicine (M.D.)

Dr. Brittney Bernardoni , MD

Emergency Medicine

NPI 1043605678

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 09, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2009

Registered at 600 HIGHLAND AVE, MADISON, WI 53792 (Tel: 6082622398)

📍

Updated Business Mailing Address February 09, 2009

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531 (Tel: 6088295485)

👤

Provider Name / Credentials Updated February 09, 2009

Recorded as MICHAEL ABERNETHY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2009

Emergency Medicine (License #33145 in WI)

🟢

Initial NPI Registration & Enumeration April 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013972579

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 19, 2006

Last Update: February 09, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

Phone: 6088295485

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.