Active NPI 1578790556 Individual Practitioner Male Practitioner

Dr. Paul Spencer Whiting , MD

Orthopaedic Surgery • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Whiting, MD is a certified Orthopaedic Surgery practicing in Madison, WI. With approximately 17 years of clinical experience since graduating from Harvard Medical School in 2009, Dr. Whiting delivers high-quality medical care to the local community at 600 HIGHLAND AVE.

Dr. Whiting is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital inpatient care per day, application of stress by physician for joint imaging. 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 537920001

Telephone 6082637540

Fax 6082656526

Associated Practice Facility / Clinic

🏢 University Of Wisconsin Medical Foundation Facility NPI 1528029204

Medicare Profile & Education

Medical School

Harvard Medical School

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Madison, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -2.6 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

106 Specialists

Practicing in Madison, WI (688 Statewide)

Telehealth Adoption Rate

10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whiting (17 Years) 17 Yrs

Madison Specialty Average (19.6 Years) 19.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	86	61	$234.00	$61.07
99221 Initial hospital inpatient care per day, typically 30 minutes	58	58	$413.00	$75.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$343.00	$90.31
77071 Application of stress by physician for joint imaging	24	22	$264.00	$50.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$535.00	$123.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	67	$218.30	$61.88
99221 Initial hospital inpatient care per day, typically 30 minutes	70	70	$393.10	$76.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	29	$314.60	$91.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	22	$183.00	$46.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$494.30	$124.31
77071 Application of stress by physician for joint imaging	13	13	$264.00	$51.15
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$8991.69	$1048.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	80	80	$378.00	$93.16
99213 Established patient office or other outpatient visit, typically 15 minutes	73	60	$204.00	$61.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	53	$294.00	$93.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$462.00	$125.73
27245 Treatment of broken neck of thigh bone with bone implant	21	21	$9410.00	$1128.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$183.00	$35.96
77071 Application of stress by physician for joint imaging	16	15	$280.50	$52.48

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	69	49	$280.00	$95.39
99221 Initial hospital inpatient care per day, typically 30 minutes	55	55	$378.00	$94.70
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$194.00	$64.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	22	$263.00	$68.27
27245 Treatment of broken neck of thigh bone with bone implant	20	20	$9410.00	$1144.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$440.00	$129.58
77071 Application of stress by physician for joint imaging	16	15	$264.00	$52.07
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$8822.00	$1084.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	66	$185.00	$49.49
99221 Initial hospital inpatient care per day, typically 30 minutes	65	65	$365.00	$97.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$251.00	$69.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$293.00	$72.70
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	16	$8822.00	$1129.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	62	$176.00	$49.57
99221 Initial hospital inpatient care per day, typically 30 minutes	68	68	$359.00	$97.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$280.00	$73.21
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	15	15	$8822.00	$1138.68
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$9410.00	$1171.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	60	$171.00	$49.19
99221 Initial hospital inpatient care per day, typically 30 minutes	74	74	$350.00	$96.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	21	$244.00	$69.80
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	18	18	$8822.00	$1121.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$273.00	$72.68
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$9410.00	$1154.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	57	$165.00	$48.92
99221 Initial hospital inpatient care per day, typically 30 minutes	59	58	$341.00	$96.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	33	$238.00	$69.44
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$9091.00	$1162.80

Medical Specialties & State Licenses

CMS Verified: 2021-01-22

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 64374-20

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

600 Highland Ave, Madison, WI 537920001

Phone: 6082636400

Practice Associates & Co-Workers

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

40 Associated Practitioners

Elise Kreger

Physician Assistant

NPI 1003493164

Shannon Gedman , APNP

Nurse Practitioner

NPI 1013475656

Advanced Practice Nurse Prescriber

Scott Liegel

Physician Assistant

NPI 1023580776

Dr. Jeffrey Odonnell , MD

Orthopaedic Surgery

NPI 1073019675

Doctor of Medicine (M.D.)

Erik Bonifas , PA-C

Physician Assistant

NPI 1093779688

Physician Assistant (Certified)

Dr. Stefan Zachary , DO MS

Orthopaedic Surgery - Hand Surgery

NPI 1104881895

DOMS

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 14, 2015

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082637540)

📍

Updated Business Mailing Address September 14, 2015

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

👤

Provider Name / Credentials Updated September 14, 2015

Recorded as PAUL WHITING, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2015

Orthopaedic Surgery (License #64374-20 in WI)

🟢

Initial NPI Registration & Enumeration June 16, 2009

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: 1578790556

Entity Type:

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

Enumeration Date: June 16, 2009

Last Update: January 22, 2021

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.