Compare 70 gastroenterologists in Madison, WI. Check ratings, insurance, and availability.
70
Gastroenterologists
100%
Accepting patients
83%
Most common: MD
Ranked by Clarity Score, based on profile detail, verification, and patient activity.
Madison is a college town with academic medical center resources that punch well above its size. UW Health dominates the local market, and the population is younger, more educated, and more health-engaged than most comparably sized cities. The result is a healthcare environment where preventive care and wellness are the norm, not the exception.
Madison has 70 gastroenterologists. The most common credential is MD (83%). 100% are currently accepting new patients. Practitioners see patients in neighborhoods including Downtown (Capitol Square), Williamson Street (Willy Street), Monroe Street, and Hilldale.
UW Health University Hospital sits on the west side of the isthmus near the UW-Madison campus. SSM Health St. Mary's is on the south side, and Meriter Hospital (UnityPoint) is centrally located near the Capitol. Most medical offices cluster along University Avenue, the Beltline Highway corridor, and the west side near the hospital. Parking at UW Hospital can be tight, so use the shuttle from the garage on Highland Avenue.
Nearby hospitals include UW Health University Hospital, SSM Health St. Mary's Hospital, and Meriter Hospital (UnityPoint Health). Local training programs run through University of Wisconsin School of Medicine and Public Health and University of Wisconsin-Madison. Madison is consistently ranked among the healthiest cities in the US due to high physical activity rates and healthcare access.
Quartz (formerly Physicians Plus), affiliated with UW Health, and Dean Health Plan are the dominant local carriers. Group Health Cooperative also serves the Madison market. National carriers like UnitedHealthcare and Anthem have less market share here than in Milwaukee. BadgerCare Plus enrollment is lower in Dane County than in most Wisconsin counties, reflecting the area's higher employment and income levels. 74% accept Medicare.
The first visit includes a thorough review of your symptoms, diet, bowel habits, and medical history. The GI doctor may order blood work, stool tests, or imaging. If a colonoscopy or endoscopy is needed, they will schedule it separately and explain the preparation. Procedures are done under sedation and typically take 20 to 45 minutes. You will need someone to drive you home afterward.
UW Health uses the MyChart patient portal. If you are new to the area and coming from a different health system, request your records be sent electronically or bring printed copies. Many UW Health clinics offer same-day or next-day appointments for established patients.
See a gastroenterologist for persistent heartburn or acid reflux, difficulty swallowing, chronic abdominal pain, unexplained weight loss, blood in your stool, chronic diarrhea or constipation, inflammatory bowel disease (Crohn's, ulcerative colitis), abnormal liver tests, hepatitis, celiac disease, or when it is time for a screening colonoscopy. Your PCP may refer you after initial evaluation.
Office visit copay: $30-75 · Screening colonoscopy: $0 (preventive) · Diagnostic colonoscopy: $1,500-4,000 · Upper endoscopy: $1,000-3,000
Allergy season in Madison runs from spring through fall, with tree pollen in spring and ragweed in late summer. The lakes and surrounding farmland contribute to mold and pollen exposure that can aggravate asthma and respiratory conditions.
Frequent heartburn that does not respond to over-the-counter antacids may be gastroesophageal reflux disease. A gastroenterologist evaluates the severity and recommends treatment to prevent long-term esophageal damage.
Crohn disease and ulcerative colitis require ongoing management by a gastroenterologist who monitors disease activity, adjusts medications, and performs colonoscopies to assess the health of your intestinal lining.
IBS causes bloating, cramping, and unpredictable bowel habits that interfere with daily life. A gastroenterologist confirms the diagnosis and helps you find dietary and medical strategies that bring relief.
Colonoscopy is the gold standard for colorectal cancer screening, now recommended starting at age 45. A gastroenterologist performs the procedure and removes precancerous polyps before they become dangerous.
Elevated liver enzymes, fatty liver, hepatitis, and cirrhosis all fall within a gastroenterologist scope. Early detection and management prevent progression to liver failure.
Madison, WI has 70 licensed gastroenterologists. 100% are currently accepting new patients, so finding an available provider should be straightforward.
Yes. 100% of gastroenterologists in Madison, WI are currently accepting new patients. You can filter your search on FindClarity to show only providers who are taking new patients.
Wisconsin residents enroll through HealthCare.gov for ACA marketplace plans. In Dane County, options include Quartz (affiliated with UW Health), Dean Health Plan, and Group Health Cooperative. BadgerCare Plus covers Medicaid-eligible residents. Many Madison employers offer Quartz or Dean plans that include the UW Health network.
An office visit copay is $30 to $75. A screening colonoscopy is $0 (preventive). A diagnostic colonoscopy costs $1,500 to $4,000. An upper endoscopy runs $1,000 to $3,000. Actual costs in Madison, WI depend on the provider and your insurance plan. Screening colonoscopies must be billed as preventive to be covered at 100%. If polyps are found and removed, the procedure should remain coded as screening. Verify that the endoscopy center and anesthesiologist are both in-network.
UW Health is the dominant system in Madison, operating the university hospital, dozens of clinics, and the American Family Children's Hospital. SSM Health and UnityPoint (Meriter) offer alternatives. For most specialty care, UW Health will be the primary option. If your insurance does not include UW Health, SSM and Meriter cover a wide range of primary and acute care needs.
74% of gastroenterologists in Madison, WI accept Medicare. Medicare covers screening colonoscopies every ten years for average-risk patients (no cost-sharing). Diagnostic colonoscopies and other GI procedures are covered with standard Part B cost-sharing. You can filter for Medicare-accepting providers on FindClarity.
Some gastroenterologists in Madison, WI accept BadgerCare Plus, the state's Medicaid program. Medicaid covers screening colonoscopies and medically necessary GI services. Coverage details for newer medications (biologics for IBD) vary by state formulary. Contact the provider's office directly to confirm BadgerCare Plus participation before scheduling.
UW Health is the largest and most comprehensive system, but SSM Health St. Mary's Hospital and UnityPoint Health-Meriter both operate in Madison. For complex specialty care, oncology, and transplants, UW Health is typically the referral destination. Primary care and many surgical procedures are available at all three systems.
Madison has a relatively strong supply of therapists compared to most cities its size. UW Health Behavioral Health, Journey Mental Health Center, and many private practices accept new patients. Check whether your plan includes Quartz or Dean network providers, as that will determine your in-network options.
Top accepted carriers in Madison, WI include unitedhealthcare, medicare, qhp-44228, qhp-20173, and qhp-86584.
Screening colonoscopies are covered at 100% as preventive care under the ACA with no copay (for average-risk patients starting at age 45). If polyps are found and removed during a screening, the procedure should still be billed as preventive. Diagnostic colonoscopies (ordered for symptoms) are subject to your deductible and copay. Verify the endoscopy center is in-network separately from the doctor.