Active NPI 1548437163 Individual Practitioner Female Practitioner

Dr. Dawn Marie Elfenbein , MD

Surgery • Madison, WI

Professional Overview & Biography Verified Profile Summary

Dr. Dawn Elfenbein, MD is a certified Surgery practicing in Madison, WI. With approximately 20 years of clinical experience since graduating from Johns Hopkins University School Of Medicine in 2006, Dr. Elfenbein delivers high-quality medical care to the local community at 1515 SPAIGHT ST.

Dr. Elfenbein does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, ultrasound of head and neck, ultrasonic guidance during surgery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1515 Spaight St

Madison, WI 537033724

Telephone 4102742658

Medicare Profile & Education

Medical School

Johns Hopkins University School Of Medicine

Graduation Year

2006

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Madison, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +0.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

126 Specialists

Practicing in Madison, WI (765 Statewide)

Telehealth Adoption Rate

17.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Elfenbein (20 Years) 20 Yrs

Madison Specialty Average (19.4 Years) 19.4 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
36415 Insertion of needle into vein for collection of blood sample	33	22	$37.10	$8.65
76536 Ultrasound of head and neck	26	26	$194.00	$24.91
76998 Ultrasonic guidance during surgery	25	24	$407.00	$41.13
60500 Removal or exploration of parathyroid glands	24	24	$8907.00	$864.42
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$234.00	$61.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$535.00	$122.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$343.00	$90.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$160.00	$32.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	35	26	$35.00	$8.40
76536 Ultrasound of head and neck	34	33	$194.00	$25.76
76998 Ultrasonic guidance during surgery	30	29	$394.00	$55.09
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$218.30	$60.84
60500 Removal or exploration of parathyroid glands	28	28	$9145.58	$838.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$494.30	$124.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$314.60	$91.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
60500 Removal or exploration of parathyroid glands	32	32	$9046.17	$854.31
76536 Ultrasound of head and neck	30	29	$194.00	$26.33
36415 Insertion of needle into vein for collection of blood sample	29	21	$33.00	$2.96
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	$127.26
76998 Ultrasonic guidance during surgery	27	27	$394.00	$56.20
82310 Calcium level, total	20	16	$62.85	$5.11
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$204.00	$63.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$440.00	$129.78
76536 Ultrasound of head and neck	18	18	$194.00	$26.90
36415 Insertion of needle into vein for collection of blood sample	15	11	$32.00	$3.00
60500 Removal or exploration of parathyroid glands	11	11	$8907.00	$896.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
60500 Removal or exploration of parathyroid glands	24	24	$8907.00	$894.63
76998 Ultrasonic guidance during surgery	23	23	$378.00	$59.12
76536 Ultrasound of head and neck	21	21	$194.00	$27.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$419.00	$124.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76536 Ultrasound of head and neck	21	21	$173.71	$28.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$454.67	$128.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
10022 Fine needle aspiration using imaging guidance	15	11	$499.47	$117.45
76536 Ultrasound of head and neck	14	14	$215.36	$52.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$697.08	$169.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$198.00	$48.79
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$153.36	$37.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$503.25	$179.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$134.80	$48.79

Medical Specialties & State Licenses

CMS Verified: 2025-10-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 59868-20

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID North Carolina Medical Board Certificate Number

134902 (NC)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 16, 2025

Registered at 1515 SPAIGHT ST, MADISON, WI 537033724 (Tel: 4102742658)

📍

Updated Business Mailing Address October 16, 2025

Registered at 1515 SPAIGHT ST, MADISON, WI 537033724

📍

Updated Practice Location September 16, 2019

Registered at 4602 EASTPARK BLVD, MADISON, WI 537182002 (Tel: 6082422888)

✅

NPI Profile Active August 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2013

Registered at 600 HIGHLAND AVE, K4/7 7375, MADISON, WI 537920001 (Tel: 6082637502)

📍

Updated Business Mailing Address August 30, 2013

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

👤

Provider Name / Credentials Updated August 30, 2013

Recorded as DAWN ELFENBEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2013

Surgery (License #59868-20 in WI)

🟢

Initial NPI Registration & Enumeration May 13, 2008

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: 1548437163

Entity Type:

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

Enumeration Date: May 13, 2008

Last Update: October 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1515 Spaight St

Madison, WI 537033724

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.