Compare 81 pulmonologists in Madison, WI. Check ratings, insurance, and availability.
81
Pulmonologists
100%
Accepting patients
84%
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 81 pulmonologists. The most common credential is MD (84%). 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. 78% accept Medicare.
The first visit includes a review of your symptoms, smoking history, environmental exposures, and current medications. The pulmonologist will listen to your lungs and may order pulmonary function tests (PFTs), which measure how well your lungs move air and exchange oxygen. PFTs involve breathing into a mouthpiece in various patterns. You may also need imaging or a bronchoscopy depending on your symptoms.
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 pulmonologist for a chronic cough lasting more than eight weeks, shortness of breath that worsens over time, COPD management, severe or hard-to-control asthma, recurrent pneumonia, abnormal chest imaging (nodules, masses, scarring), coughing up blood, occupational lung exposures (asbestos, silica), or sleep-disordered breathing that a sleep study has confirmed.
Office visit copay: $30-75 · Pulmonary function test: $150-500 · Chest CT: $300-3,000 · Bronchoscopy: $1,500-5,000
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.
Pulmonologists manage moderate to severe asthma, perform pulmonary function testing, and develop treatment plans that reduce flares and keep your airways open.
COPD is a progressive lung condition most commonly caused by smoking. Pulmonologists prescribe inhalers, pulmonary rehabilitation, and oxygen therapy to slow progression and improve quality of life.
Loud snoring, gasping during sleep, and daytime exhaustion may indicate obstructive sleep apnea. Pulmonologists order sleep studies and manage CPAP therapy or other treatments.
A cough that lasts more than eight weeks has a cause, whether it is acid reflux, postnasal drip, asthma, or something else. Pulmonologists work through the differential to find and treat it.
Pulmonary fibrosis and other interstitial lung diseases cause progressive scarring of the lungs. Pulmonologists manage these complex conditions with medication and monitoring to slow disease progression.
Madison, WI has 81 licensed pulmonologists. 100% are currently accepting new patients, so finding an available provider should be straightforward.
Yes. 100% of pulmonologists 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. Pulmonary function tests cost $150 to $500. A chest CT runs $300 to $3,000. A bronchoscopy costs $1,500 to $5,000. Actual costs in Madison, WI depend on the provider and your insurance plan. Brand-name inhalers can be expensive ($200 to $500 per month). Generic alternatives exist for many common inhalers. Ask your pulmonologist about cost-effective options and manufacturer savings programs.
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, 84% hold the MD credential and 5% hold DO. The difference is in training pathway, not quality of care.
78% of pulmonologists in Madison, WI accept Medicare. Medicare covers pulmonology visits, PFTs, and pulmonary rehabilitation (up to 36 sessions). Supplemental oxygen and nebulizers are covered under durable medical equipment. 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 medicare, unitedhealthcare, qhp-44228, qhp-20173, and hcsc.
Pulmonology visits are covered as specialist visits. PFTs and imaging require prior authorization in many plans. Inhalers can be expensive, with brand-name combination inhalers costing $200 to $500 per month without insurance. Ask about generic alternatives and manufacturer copay programs. Pulmonary rehabilitation is covered by Medicare and most insurance plans with a physician order.