Adam Coughlin, M.D.
NPI 1164865382 · Otolaryngology Physician · Madison, WI
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Adam Coughlin, M.D. is a Otolaryngology Physician provider in Madison, WI (NPI 1164865382).
Provider details
- NPI number
- 1164865382
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 62997 (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
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
401 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 | 68 | $86 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 63 | $103 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 63 | $120 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 59 | $116 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 59 | $149 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ipratropium Bromide | 58 | 32 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 18 | 15 |
| Ofloxacin | 18 | 11 |
| Prednisone | 16 | 16 |
| Mupirocin | 15 | — |
| Ondansetronbrand: Ondansetron Odt | 13 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$191 across 3 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 (2)
- Uw Hospital and Clinics600 Highland Ave., H4/831Madison, WI 53792-0001Phone: (608) 263-0192
- Uw Hospital and Clinics600 Highland Ave., H4/831Madison, WI 53792Phone: (608) 263-0192
Registry dates
- Enumerated
- 2013-04-08
- Last updated
- 2020-11-06
- Certified
- 2020-11-06
Frequently asked questions
- What is Adam Coughlin's NPI number?
- Adam Coughlin's National Provider Identifier (NPI) is 1164865382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Adam Coughlin's specialty?
- Adam Coughlin is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Adam Coughlin located?
- Adam Coughlin's practice location on file with NPPES is 752 N High Point Rd, Madison, WI 53717-2236.
- What is Adam Coughlin's phone number?
- The practice phone number listed in the NPPES registry for Adam Coughlin is (608) 824-4000.
- Does Adam Coughlin accept Medicare?
- Adam Coughlin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Adam Coughlin's NPI active?
- Yes — Adam Coughlin's NPI (1164865382) is active in the NPPES registry as of the last update on 2020-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.