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JOSEPH P. MATHEW M.D.
NPI 1023031853
Internal Medicine in Racine, WI

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
2408 4 MILE RD, RACINE, WI 53402(262) 687-5995 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph P. Mathew M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH P. MATHEW M.D. (NPI 1023031853) is an individual internal medicine provider in Racine, Wisconsin, licensed in Wisconsin (40811-020) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Southern Illinois University School Of Medicine (1994).

NPPES Registry Identity

NPI1023031853
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH P. MATHEWCredential: M.D.
Location Address2408 4 MILE RDRacine, WI 53402-2091
Mailing Address2408 4 Mile RdRacine, WI 53402-2091 · (262) 687-5995
Phone(262) 687-5995
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1994
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023031853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 40811-020
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2408 4 MILE RD, Racine, WI 53402
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Other Identifiers 1

Medicare UPING55344

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph P. Mathew M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082717632
PECOS Enrollment IDI20070320000173
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
411 services210 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
201 services201 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
186 services141 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers64 claims165 services$5.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers37 claims45 services$1.08 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers13 claims78 services$14.41 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers14 claims14 services$58.30 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers24 claims25 services$207.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER J. BRITTIG M.D.
Family Medicine
2408 4 MILE RD
RACINE, WI 53402
Racine County (262) 687-5995
MACKENZIE ANDERSON PT
Physical Therapist
2408 4 MILE RD
RACINE, WI 53402
Racine County (262) 687-5995
NICHOLAS HENKEL
Occupational Therapist
2408 4 MILE RD
CALEDONIA, WI 53402
Racine County (262) 687-5998
VITO A RIVECCO PTA
Physical Therapist
2408 4 MILE RD
CALEDONIA, WI 53402
Racine County (262) 687-5998
ABIGAIL GONZALEZ PTA
Physical Therapy Assistant
2408 4 MILE RD
CALEDONIA, WI 53402
Racine County (262) 687-5998
MARISSA JANE PARKIN OTR/L
Occupational Therapist
2408 4 MILE RD
CALEDONIA, WI 53402
Racine County (262) 687-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Mathew's NPI number?

The NPI number for Joseph Mathew is 1023031853. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Joseph Mathew located?

Joseph Mathew practices at 2408 4 Mile Rd, Racine, WI 53402. The listed phone number is (262) 687-5995.

What is Joseph Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Mathew enrolled in Medicare?

Yes. Joseph Mathew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Mathew accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Joseph Mathew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Mathew affiliated with any hospitals?

According to CMS data, Joseph Mathew is affiliated with Froedtert South Inc., Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Mathew was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.