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Therapists and counselors who accept Medicare in Madison, WI

CMS lists 440 clinicians in this specialty with a practice address in Madison. Accept Medicare assignment (the Medicare-approved amount as full payment): 333. Offer telehealth: 148.

Since January 1, 2024, Medicare Part B also covers licensed marriage and family therapists and mental health counselors, alongside clinical social workers.

What a visit costs with Original Medicare

Typical amount Medicare approves for a visit in ZIP 53704 (2024 Medicare rates, the latest CMS has published): $67, of which you pay about $17 — the 20% coinsurance after the yearly Part B deductible. Clinicians who don't accept assignment can charge up to 15% more; with a Medicare Advantage plan, your plan's copay applies instead.

Is this your organization or practice? Feature it at the top of this page — $49 for 30 days →

Order: clinicians who accept assignment first, then by MIPS score (highest first), then by last name.

Showing the first 100 of 440 in this order.

Before you book

This list comes from Medicare's enrollment records, not from reviews. Call the office to confirm the clinician is taking new Medicare patients. With Original Medicare, a clinician who accepts assignment can only charge you the Medicare deductible and coinsurance; one who doesn't may charge up to 15% more than the Medicare-approved amount. If you have a Medicare Advantage plan, check that the clinician is in the plan's network.

The MIPS final score (0–100) comes from Medicare's Merit-based Incentive Payment System for 2024. It combines quality measures, cost, improvement activities and use of certified health records, and it sets a payment adjustment. Clinicians who report as a group share the group's score. It is not a patient rating, and many clinicians have no published score.

Payments from drug and medical device companies come from CMS Open Payments (2025 general payments: meals, travel, consulting and speaking fees, gifts and similar), summed for each clinician. Receiving payments is legal and common and does not mean a clinician did anything wrong.

Other specialists in Madison

Other care in Madison

Hospitals · Nursing homes · Dialysis centers · Home health agencies · Hospices

Nearby cities

Enrollment, addresses and scores are as reported to CMS and can change. This is not a list of in-network providers for any Medicare Advantage plan, and it is not medical advice. Source: CMS Provider Data Catalog — Doctors and Clinicians National Downloadable File, Clinician MIPS Performance 2024 and Facility Affiliation Data (released Oct 2, 2026).