Haley Cottingham , APNP
Nurse Practitioner โข Edgerton, WI
11051 N Sherman Rd
Edgerton, WI 535349002
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Haley Cottingham is listed in NPPES under Nurse Practitioner.
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NPI assigned on March 28, 2019; this date does not establish years in practice.
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Published CMS data list 331 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 137 service units.
- 36415 โ Insertion of needle into vein for collection of blood sample: 93 service units.
- G0439 โ Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 44 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,518 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 130 prescription fills, including refills.
- Levothyroxine Sodium โ 83 prescription fills, including refills.
- Lisinopril โ 79 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 48 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: 185. Middle half: 82 to 369.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 22 in 2022 to 331 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
11051 N Sherman Rd
Edgerton, WI 535349002
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Dean Health Systems Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2018
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
144 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $22,827 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $17,242 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
3,614 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$96,862 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Haley Cottingham has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Haley Cottingham as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Edgerton and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: 185. Middle half: 82 to 369.
Too few clinicians listed under Nurse Practitioner in Edgerton have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: $13,707. Middle half: $6,114 to $26,154.
Too few clinicians listed under Nurse Practitioner in Edgerton have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: $10,011. Middle half: $4,480 to $19,097.
Too few clinicians listed under Nurse Practitioner in Edgerton have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: 327. Middle half: 90 to 1,325.
Too few clinicians listed under Nurse Practitioner in Edgerton have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: $17,831. Middle half: $1,191 to $147,074.
Too few clinicians listed under Nurse Practitioner in Edgerton have Medicare Part D data for 2024 to compare.
4 active clinicians are listed under Nurse Practitioner with a practice address in Edgerton, WI (3,995 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 1405% from 22 in 2022 to 331 in 2024.
- 2022: 22
- 2023: 414
- 2024: 331
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Medicare-allowed amount
Medicare-allowed amount increased 1682% from $1,281 in 2022 to $22,827 in 2024.
- 2022: $1,281
- 2023: $27,902
- 2024: $22,827
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Paid by Medicare
Paid by Medicare increased 1569% from $1,033 in 2022 to $17,242 in 2024.
- 2022: $1,033
- 2023: $20,566
- 2024: $17,242
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 73% from 875 in 2023 to 1,518 in 2024.
- 2023: 875
- 2024: 1,518
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30-day fills
30-day fills increased 80% from 2,006 in 2023 to 3,614 in 2024.
- 2023: 2,006
- 2024: 3,614
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Part D drug cost
Part D drug cost increased 37% from $70,706 in 2023 to $96,862 in 2024.
- 2023: $70,706
- 2024: $96,862
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2022โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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137 | 97 | $361.00 | $102.41 |
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36415
Insertion of needle into vein for collection of blood sample
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93 | 71 | $40.00 | $8.65 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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44 | 44 | $1524.00 | $103.52 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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21 | 20 | $256.00 | $72.40 |
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G0008
Administration of influenza virus vaccine
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20 | 20 | $52.00 | $30.42 |
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90653
Influenza vaccine, inactivated
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16 | 16 | $167.00 | $81.82 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 130 | 10,080 | $1,218.06 | 56 |
| Levothyroxine Sodium | Levothyroxine Sodium | 83 | 5,863 | $985.63 | 28 |
| Lisinopril | Lisinopril | 79 | 6,474 | $531.49 | 43 |
| Metoprolol Succinate | Metoprolol Succinate | 75 | 6,294 | $1,246.76 | 24 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 75 | 5,739 | $718.92 | 27 |
| Omeprazole | Omeprazole | 74 | 4,871 | $766.66 | 32 |
| Amlodipine Besylate | Amlodipine Besylate | 65 | 5,239 | $324.61 | 30 |
| Losartan Potassium | Losartan Potassium | 62 | 5,400 | $657.38 | 29 |
| Simvastatin | Simvastatin | 48 | 3,128 | $347.31 | 15 |
| Furosemide | Furosemide | 46 | 2,744 | $115.26 | 15 |
| Metformin Hcl Er | Metformin Hcl | 46 | 3,050 | $424.78 | 18 |
| Eliquis | Apixaban | 38 | 1,728 | $33,043.84 | โ |
| Hydrochlorothiazide | Hydrochlorothiazide | 34 | 3,060 | $59.10 | 12 |
| Jardiance | Empagliflozin | 34 | 1,376 | $26,724.67 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 33 | 2,250 | $145.69 | 11 |
| Citalopram Hbr | Citalopram Hydrobromide | 33 | 3,010 | $378.69 | 13 |
| Sertraline Hcl | Sertraline Hcl | 31 | 2,471 | $406.39 | โ |
| Allopurinol | Allopurinol | 28 | 2,432 | $297.74 | 16 |
| Atenolol | Atenolol | 28 | 2,400 | $245.95 | 15 |
| Tamsulosin Hcl | Tamsulosin Hcl | 24 | 1,995 | $331.85 | 12 |
| Metformin Hcl | Metformin Hcl | 23 | 1,984 | $275.41 | 11 |
| Duloxetine Hcl | Duloxetine Hcl | 23 | 1,775 | $612.92 | 12 |
| Ozempic | Semaglutide | 23 | 672 | $21,450.44 | โ |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 23 | 714 | $442.47 | โ |
| Montelukast Sodium | Montelukast Sodium | 21 | 1,770 | $150.99 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-03-14NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 163W00000X
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
NUCC Taxonomy Code: 363LF0000X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20230317000567
WI
2961889100
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Dean Health Systems Inc
11051 N Sherman Rd, Edgerton, WI 535349002
Phone: 6088843354
Dean Health Systems Inc
10 N Water St, Evansville, WI 535361152
Phone: 6088825170
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Advanced Practice Nurse Prescriber
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 11051 N SHERMAN RD, EDGERTON, WI 535349002 (Tel: 6088843354)
Registered at 11051 N SHERMAN RD, EDGERTON, WI 535349002 (Tel: 6088843354)
Recorded as HALEY COTTINGHAM, APNP
Recorded as HALEY COTTINGHAM, NP
NPI status registered as active in NPPES database
Registered at 1106 E COURT ST, JANESVILLE, WI 535452531 (Tel: 2183603808)
Registered at 1106 E COURT ST, JANESVILLE, WI 535452531 (Tel: 2183603808)
Recorded as HALEY COTTINGHAM, RN
Registered Nurse (license number reported to NPPES: WI 245669)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
11051 N Sherman Rd
Edgerton, WI 535349002
Phone: 6088843354