MS. AMANDA RAE DOUBLEDAY (DO, MBA) – Surgery Physician, NPI 1114212123

MS. AMANDA RAE DOUBLEDAY (DO, MBA) is a healthcare provider. based in Madison, Wisconsin. specializing in GENERAL SURGERY. They hold the professional credentials DO, MBA. They hold a License No. 68958 (WI). The NPI Number for MS. AMANDA RAE DOUBLEDAY (DO, MBA) is 1114212123

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMANDA RAE DOUBLEDAY (DO, MBA)
NPI
1114212123
Phone
(608) 263-7502
Address
600 HIGHLAND AVE
Enumeration Date
17 June 2011
Last Update Date
19 January 2021

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
2625420444
Graduation Year
2011 (15 years ago)
PAC ID
8729342944
Group Practice PAC ID
6406843424
Professional Enrollment ID
I20181026000076
Address ID
WI531883403WA1111XSTXX304
Telehealth
Yes

Contacts

Secure Messaging
adoubleday855703@direct.uwhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

848 GENERAL SURGERY in WI

Provider Addresses for MS. AMANDA RAE DOUBLEDAY (DO, MBA)

  • 600 HIGHLAND AVE

    MADISON, WI 537921971

    Phone: (608) 263-7502

    Fax: (608) 263-7652

    Type: Location

  • 7974 UW HEALTH CT

    MIDDLETON, WI 535625531

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $485.

Total Amount is formed as General ($485) + Research ($0) + Ownership ($0) = $485.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($428).

Total Amount

$485

General + Research + Ownership

Payments

7

Total payment records

General Amount

$485

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181026000076IGeneral SurgeryWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6742$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4341$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
99213Established patient office or other outpatient visit, 20-29 minutes2219$0
76536Ultrasound scan of head and neck soft tissue2222$0
View full utilization report →

Insurance plans in this area (ZIP 53792)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406843424View full group profile
NameSpecialtyState
Physician AssistantWI
Physician AssistantWI
General Surgery, Vascular Surgery, Peripheral Vascular DiseaseWI
General Surgery, Peripheral Vascular Disease, Vascular SurgeryWI
General Surgery, Peripheral Vascular Disease, Vascular SurgeryWI
Physician AssistantWI
General SurgeryWI
General Surgery, Surgical Oncology, Vascular SurgeryWI
General Surgery, Colorectal Surgery (Proctology), Vascular SurgeryWI
-WI

Reviews

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Frequently asked questions

Is there an official ID for MS. AMANDA RAE DOUBLEDAY (DO, MBA) in U.S. healthcare records?
The official identifier for MS. AMANDA RAE DOUBLEDAY (DO, MBA) is NPI 1114212123.
Is there an active status for MS. AMANDA RAE DOUBLEDAY (DO, MBA)?
For scheduling context, MS. AMANDA RAE DOUBLEDAY (DO, MBA) is shown as active in the registry.
What expertise is attributed to MS. AMANDA RAE DOUBLEDAY (DO, MBA)?
MS. AMANDA RAE DOUBLEDAY (DO, MBA)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MS. AMANDA RAE DOUBLEDAY (DO, MBA) associated with Madison?
Public fields place MS. AMANDA RAE DOUBLEDAY (DO, MBA) around Madison, Wisconsin. Always confirm the exact site before visiting.
Can I trust this NPI listing for MS. AMANDA RAE DOUBLEDAY (DO, MBA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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