CARMEN M CAMPBELL (M.D.) – Rheumatology Physician, NPI 1124252887
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
142 RHEUMATOLOGY in WI
Provider Addresses for CARMEN M CAMPBELL (M.D.)
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
451 JUNCTION RD
MADISON, WI 537172656
Phone: (608) 263-7577
Fax: (608) 262-3735
Type: Location
Republic Parkway, Mesquite, Dallas County, Texas, 75150, United States
SOUTHWEST RHEUMATOLOGY RESEARCH, LLC
MESQUITE, TX 75150
Phone: (972) 288-2600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $249.
Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.
Last reported payment date: 2023-11-15 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($249).
Total Amount
$249
General + Research + Ownership
Payments
17
Total payment records
General Amount
$249
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $249 |
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: 2022-09-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220909000894 | I | Rheumatology | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 130 | 101 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 70 | 57 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 67 | 30 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 54 | 54 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 15 | $0 |
Insurance plans in this area (ZIP 53562)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Endocrinology, Internal Medicine | WI | |
| Medical Oncology, Hematology/Oncology | CA |
Reviews
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