DR. RODRIGO BUENCAMINO MATA III M.D.
NPI 1033148176
Internal Medicine in Kenosha, WI

Q: What is Rodrigo Mata's NPI number?

The NPI number for Rodrigo Mata is 1033148176. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Q: What is Rodrigo Mata's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rodrigo Mata was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment

6123 GREEN BAY RD, SUITE 120, KENOSHA, WI 53142(262) 652-2710 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Rodrigo Buencamino Mata Iii M.d. NPPES

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

DR. RODRIGO BUENCAMINO MATA III M.D. (NPI 1033148176) is an individual internal medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (33893) 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 Other (1986).

NPPES Registry Identity

NPI1033148176

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RODRIGO BUENCAMINO MATA IIICredential: M.D.

Location Address6123 GREEN BAY RD, SUITE 120Kenosha, WI 53142-2927

Mailing Address6123 Green Bay Rd, Suite 120Kenosha, WI 53142-2927 · (262) 652-2710

Phone(262) 652-2710

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJuly 1, 2006

Last NPPES UpdateJune 3, 2020

NPPES CertifiedJune 3, 2020

✔ NPI 1033148176 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 · 33893

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.

6123 GREEN BAY RD, Kenosha, WI 53142

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Other Identifiers 2

Other508901078009WI · Bc/bs

Medicaid21286100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rodrigo Buencamino Mata Iii 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 ID6103721766

PECOS Enrollment IDI20031211000097

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.

Medicare Billing Reassignments

Medicare enrollment records show Rodrigo Mata reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rodrigo B Mata III, M.D., S.C.

Same address

Internal Medicine

6123 GREEN BAY RD STE 120
Kenosha, WI 53142

Reassigned Medicare billing, Wisconsin enrollment

NPI 1588847099 (262) 652-2710

Vital Signs Wellness, LLC

39 mi

Family Medicine

744 LESLIE LANE
Schaumburg, IL 60194

Reassigned Medicare billing, Wisconsin enrollment

NPI 1528538600 (855) 293-1448

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

245 services122 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

205 services48 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

128 services26 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.

113 services113 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

103 services33 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

96 services96 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

46 services28 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

30 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

28 services21 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

25 services25 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

21 services21 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

18 services18 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

16 services16 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

15 services12 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

12 suppliers50 claims92 services$4.85 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers18 claims19 services$0.85 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier24 claims24 services$14.68 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers13 claims13 services$1.92 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier12 claims12 services$30.07 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers36 claims36 services$64.38 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 11

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

MRS. TAREY ANN WENNINGER P.T.,

Physical Therapist

6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142

Kenosha County (262) 653-9208

GREAT LAKES FAMILY MEDICAL CENTER INC

Clinic/Center

6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142

Kenosha County (262) 764-4390

GREAT LAKES FOOT & ANKLE CENTERS INC

Podiatrist (Foot & Ankle Surgery)

6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142

Kenosha County (262) 652-3668

DR THOMAS J SOLECKI JR SC

Chiropractor

6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142

Kenosha County (262) 653-9208

DR. KALPANA RAO PHD

Psychologist (Clinical)

6123 GREEN BAY RD
KENOSHA, WI 53142

Kenosha County (262) 948-1000

TODD'S COMPANIONPLUS, INC.

Home Health

6123 GREEN BAY RD, SUITE 230
KENOSHA, WI 53142

Kenosha County (262) 842-0405

GREAT LAKES SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142

Kenosha County (262) 657-3668

DR. CHAD E SLODEN D.C

Chiropractor

6123 GREEN BAY RD
KENOSHA, WI 53142

Kenosha County (262) 653-9208

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 Rodrigo Mata's NPI number?

The NPI number for Rodrigo Mata is 1033148176. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Rodrigo Mata located?

Rodrigo Mata practices at 6123 Green Bay Rd Suite 120, Kenosha, WI 53142. The listed phone number is (262) 652-2710.

What is Rodrigo Mata's specialty?

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

Is Rodrigo Mata enrolled in Medicare?

Yes. Rodrigo Mata 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.

Which organizations bill Medicare for Rodrigo Mata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodrigo Mata reassigns Medicare benefits to 2 organizations: Rodrigo B Mata III, M.D., S.C. (Kenosha, WI) and Vital Signs Wellness, LLC (Schaumburg, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rodrigo Mata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodrigo Mata accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and UnitedHealthcare list Rodrigo Mata 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 Rodrigo Mata affiliated with any hospitals?

According to CMS data, Rodrigo Mata is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Rodrigo Mata was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.