Compare 452 pediatricians in Madison, WI. Check ratings, insurance, and availability.
452
Pediatricians
100%
Accepting patients
81%
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 452 pediatricians. The most common credential is MD (81%). 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. 14% accept Medicare.
Well-child visits include height, weight, and head circumference measurements, a developmental screening, a physical exam, and vaccinations per the recommended schedule. Your pediatrician will ask about eating, sleeping, and behavior, and answer your questions. Sick visits focus on the specific concern and may include rapid tests for strep, flu, or other conditions.
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 pediatrician for well-child visits (the recommended schedule starts at birth and includes visits at 1, 2, 4, 6, 9, 12, 15, 18, 24, and 30 months, then annually), vaccinations, fevers, ear infections, rashes, developmental concerns, behavioral issues, sports physicals, and any illness or injury in your child.
Well-child visit: $0 (preventive) · Sick visit copay: $20-50 · Vaccinations: $0 (covered preventive)
Madison, WI has 452 licensed pediatricians. 100% are currently accepting new patients, so finding an available provider should be straightforward.
Yes. 100% of pediatricians 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.
Well-child visits and vaccinations are covered as preventive care (no cost). Sick visit copays range from $20 to $50. Actual costs in Madison, WI depend on the provider and your insurance plan. All well-child visits and recommended vaccinations are covered at 100% under the ACA. If your child has a chronic condition, ask about care coordination services that may reduce out-of-pocket costs.
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, 81% hold the MD credential and 6% hold DO. The difference is in training pathway, not quality of care.
14% of pediatricians in Madison, WI accept Medicare. Medicare does not cover pediatric care. Children are typically covered under a parent's employer-sponsored plan, a Marketplace plan, Medicaid, or CHIP. 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, qhp-44228, qhp-86584, qhp-37833, and qhp-20173.
Well-child visits and vaccinations are covered at 100% as preventive care under the ACA, with no copay. Sick visits have standard copays. Most plans cover children's preventive services through age 18. If your child needs specialist care, your pediatrician can provide referrals. Check if your plan requires selecting a PCP for your child.