Thomas Zdeblick, MD
NPI 1003870668 · Orthopaedic Surgery Physician · Madison, WI
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Zdeblick, MD is a Orthopaedic Surgery Physician provider in Madison, WI (NPI 1003870668).
Provider details
- NPI number
- 1003870668
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 29993-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
85 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 27 | $84 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 24 | $104 |
| Partial Removal of Spine Bone With Release of Lower Spinal Cord And/Or Nerves, 1 Segment63047 | 17 | $915 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 17 | $53 |
Typical Medicare-allowed amounts for these services range $53–$915 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$71,432 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 123 Hospital Dr Ste 1008Watertown, WI 53098-3320Phone: (920) 206-6500Fax: (920) 261-4013
Registry dates
- Enumerated
- 2006-04-12
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Frequently asked questions
- What is Thomas Zdeblick's NPI number?
- Thomas Zdeblick's National Provider Identifier (NPI) is 1003870668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Zdeblick's specialty?
- Thomas Zdeblick is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Zdeblick located?
- Thomas Zdeblick's practice location on file with NPPES is 2501 W Beltline Hwy Ste 601, Madison, WI 53713-2309.
- What is Thomas Zdeblick's phone number?
- The practice phone number listed in the NPPES registry for Thomas Zdeblick is (608) 234-7436.
- Does Thomas Zdeblick accept Medicare?
- Thomas Zdeblick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Zdeblick's NPI active?
- Yes — Thomas Zdeblick's NPI (1003870668) is active in the NPPES registry as of the last update on 2025-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.