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Dr. Grace Compton , DPT, PT

Physical Therapist โ€ข Madison, WI

Active NPI 1932893864 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1821 S Stoughton Rd
Madison, WI 537162257

Call 6082606000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1821 S Stoughton Rd

Madison, WI 537162257

Telephone 6082606000
Fax 6082606906
Organization at the Same NPPES Address or Phone
Dean Health Systems, Inc Facility NPI 1578570974

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Lake Mills, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

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

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2023

Medicare patients

65 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $32,185 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.

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 $22,653 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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.

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional 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

2023

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Compton 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.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Madison and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Physical Therapist in Madison, WI (2024, 74 clinicians with data). Median for this group: 613. Middle half: 392 to 948.

More Medicare Part B services than 70% of clinicians listed under Physical Therapist in Wisconsin (2024, 1,400 clinicians with data). Median for this group: 717. Middle half: 395 to 1,287.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Physical Therapist in Madison, WI (2024, 74 clinicians with data). Median for this group: $18,675. Middle half: $11,421 to $28,595.

A higher Medicare-allowed amount than 70% of clinicians listed under Physical Therapist in Wisconsin (2024, 1,400 clinicians with data). Median for this group: $19,204. Middle half: $10,823 to $33,482.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Physical Therapist in Madison, WI (2024, 74 clinicians with data). Median for this group: $13,081. Middle half: $8,574 to $21,906.

A higher Medicare payment amount than 65% of clinicians listed under Physical Therapist in Wisconsin (2024, 1,400 clinicians with data). Median for this group: $14,620. Middle half: $8,167 to $25,254.

523 active clinicians are listed under Physical Therapist with a practice address in Madison, WI (6,586 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Madison

0.2% of these 523 clinicians have the CMS telehealth indicator.

14.3% of these 523 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (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

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 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, 2023โ€“2024; 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
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
425 62 $146.61 $22.17
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
251 46 $145.55 $25.43
97530 Therapy procedure using functional activities
230 39 $106.54 $31.03
97140 Therapy procedure using manual technique, each 15 minutes
185 46 $139.93 $18.82
97116 Therapy procedure for walking training, each 15 minutes
101 18 $129.95 $20.18
97162 Evaluation for physical therapy, typically 30 minutes
35 35 $299.09 $95.25
97535 Training for self-care or home management, each 15 minutes
17 11 $100.00 $22.90

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.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-13
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES WI 16279

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Medicine & Rehabilitation

NUCC Taxonomy Code: 208100000X

License # reported to NPPES WI 16279-24

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1932893864 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20230727003923

Enrollment State Jurisdiction

WI

PECOS Control ID

9335500065

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

1821 S Stoughton Rd, Madison, WI 537162257

Phone: 6082606000

Secondary Practice Locations

805 Elm St

Lake Mills, WI 535511127

Phone: 9206482400

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Paul Beckfield , MD

Internal Medicine

NPI 1184651218

Doctor of Medicine (M.D.)

Catherine Benson , PA-C

Physician Assistant

NPI 1134186364

Physician Assistant (Certified)

Amy Bernards , PA-C

Physician Assistant - Medical

NPI 1073570115

Physician Assistant (Certified)

Sarah Block , APNP

Nurse Practitioner

NPI 1174060552

Advanced Practice Nurse Prescriber

NPI 1114963816

Doctor of Philosophy (Ph.D.)

NPI 1194712786

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location May 13, 2024

Registered at 1821 S STOUGHTON RD, MADISON, WI 537162257 (Tel: 6082606000)

๐Ÿ“
Updated Business Mailing Address May 13, 2024

Registered at 1821 S STOUGHTON RD, MADISON, WI 537162257 (Tel: 6082606000)

โœ…
NPI Profile Active June 05, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 05, 2023

Registered at 805 ELM ST, LAKE MILLS, WI 535511127 (Tel: 9206482400)

๐Ÿ“
Business Mailing Address (Initial Record) June 05, 2023

Registered at 805 ELM ST, LAKE MILLS, WI 535511127 (Tel: 9206482400)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 05, 2023

Recorded as GRACE COMPTON, DPT, PT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2023

Physical Medicine & Rehabilitation (license number reported to NPPES: WI 16279-24)

๐ŸŸข
Initial NPI Registration & Enumeration June 05, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932893864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2023
Last Update: May 13, 2024
Sole Proprietor: No

Other Physical Therapists in Madison

All Physical Therapists in Madison

Mailing Address

1821 S Stoughton Rd

Madison, WI 537162257

Phone: 6082606000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.