Compare 40 rheumatologists in Madison, WI. Check ratings, insurance, and availability.
40
Rheumatologists
100%
Accepting patients
70%
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 40 rheumatologists. The most common credential is MD (70%). 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 takes 45 to 60 minutes. The rheumatologist will perform a detailed joint exam (checking for swelling, warmth, and tenderness in every joint), review your blood work, and take a thorough history of your symptoms including when they started, what triggers them, and how they have progressed. They may order additional labs, X-rays, or ultrasound. Treatment plans often involve medication adjustments over several visits to find the right combination.
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 rheumatologist for persistent joint pain or swelling in multiple joints, morning stiffness lasting more than 30 minutes, unexplained rashes combined with joint pain, positive autoimmune blood tests (ANA, rheumatoid factor), gout attacks, chronic widespread pain or fatigue your PCP suspects is fibromyalgia, or any condition where your immune system appears to be causing inflammation.
Office visit copay: $30-75 · Rheumatoid factor/ANA panel: $100-300 · Biologic infusion: $1,000-5,000 per treatment · Joint ultrasound: $200-500
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.
Rheumatoid arthritis is an autoimmune condition that attacks the joints. Rheumatologists prescribe disease-modifying drugs early to prevent joint damage and manage the condition long-term.
Lupus can affect the skin, joints, kidneys, brain, and other organs. Rheumatologists manage flares, monitor organ involvement, and adjust treatment to keep the disease under control.
Wear-and-tear arthritis causes joint pain and stiffness that worsens over time. Rheumatologists help distinguish it from inflammatory arthritis and develop management plans that keep you active.
Sudden, intense joint pain (often in the big toe) may be gout. Rheumatologists confirm the diagnosis, treat acute flares, and prescribe long-term uric acid-lowering therapy to prevent future attacks.
Widespread pain, fatigue, and brain fog that cannot be explained by other conditions may be fibromyalgia. Rheumatologists diagnose it, rule out other causes, and create a multifaceted treatment plan.
Madison, WI has 40 licensed rheumatologists. 100% are currently accepting new patients, so finding an available provider should be straightforward.
Yes. 100% of rheumatologists 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 rheumatoid factor/ANA panel costs $100 to $300. Biologic infusions cost $1,000 to $5,000 per treatment. Joint ultrasound runs $200 to $500. Actual costs in Madison, WI depend on the provider and your insurance plan. Biologic medications are the biggest cost driver in rheumatology. Biosimilars (generic-equivalent biologics) can significantly reduce costs. Manufacturer copay programs can bring patient costs down to $5 to $25 per month. Ask your rheumatologist about all financial assistance options.
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, 70% hold the MD credential and 5% hold DO. The difference is in training pathway, not quality of care.
78% of rheumatologists in Madison, WI accept Medicare. Medicare covers rheumatology visits and medically necessary treatments, including biologic infusions administered in the office (Part B). Oral biologic medications are covered under Part D. 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, qhp-86584, and qhp-37833.
Rheumatology visits are covered as specialist visits. Biologic medications (Humira, Enbrel, Rinvoq, etc.) are expensive, often $2,000 to $6,000 per month before insurance. Most are covered under specialty pharmacy benefits with prior authorization. Manufacturer copay assistance programs can dramatically reduce out-of-pocket costs. Your rheumatologist's office typically handles authorization paperwork.