Compare 31 nephrologists in Madison, WI. Check ratings, insurance, and availability.
31
Nephrologists
100%
Accepting patients
74%
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 31 nephrologists. The most common credential is MD (74%). 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 kidney function labs (creatinine, GFR, urinalysis), blood pressure readings, medications, and medical history. The nephrologist will assess the cause and stage of kidney disease and develop a management plan focused on slowing progression. This often involves medication adjustments, dietary changes, and monitoring. If dialysis is likely in the future, they will discuss access planning and options well in advance.
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 nephrologist if your PCP identifies declining kidney function (elevated creatinine, low GFR), protein in your urine, difficult-to-control high blood pressure despite multiple medications, recurrent kidney stones, electrolyte abnormalities, or if you are approaching the need for dialysis. Your primary care doctor will typically refer you when kidney function drops below a certain threshold.
Office visit copay: $30-75 · Kidney function panel: $50-200 · Dialysis: $250-500 per session · Kidney transplant: $250,000-400,000+
Madison, WI has 31 licensed nephrologists. 100% are currently accepting new patients, so finding an available provider should be straightforward.
Yes. 100% of nephrologists 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 kidney function panel costs $50 to $200. Each dialysis session costs $250 to $500. A kidney transplant runs $250,000 to $400,000 or more. Actual costs in Madison, WI depend on the provider and your insurance plan. Dialysis costs are largely covered by Medicare. For CKD patients not yet on dialysis, newer medications like SGLT2 inhibitors can slow progression but may require prior authorization. Ask about manufacturer assistance programs for expensive kidney medications.
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.
MD stands for Doctor of Medicine and DO stands for Doctor of Osteopathic Medicine. Both are equivalent qualifications. In Madison, WI, 74% hold the MD credential and 6% hold DO. The difference is in training pathway, not quality of care.
74% of nephrologists in Madison, WI accept Medicare. Medicare covers dialysis for all patients with end-stage kidney disease, regardless of age. Medicare also covers kidney transplant evaluation and surgery. Monthly lab work is covered for dialysis patients. You can filter for Medicare-accepting providers on FindClarity.
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, hcsc, and qhp-86584.
Nephrology visits are covered as specialist visits. Medicare covers dialysis for all patients with end-stage kidney disease regardless of age. Dialysis and transplant are among the most expensive treatments in medicine. If you are approaching dialysis, your nephrologist's office can help navigate insurance and disability benefits. Medications for CKD, especially newer ones like SGLT2 inhibitors, may require prior authorization.