MATTHEW C NIESEN M.D.
NPI 1033349840
Orthopaedic Surgery in Columbus, WI
About Matthew C Niesen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW C NIESEN M.D. (NPI 1033349840) is an individual orthopaedic surgery provider in Columbus, Wisconsin, licensed in Wisconsin (54971) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and maintains a secondary practice location in Beaver Dam.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Matthew C Niesen 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.
Medicare Billing Reassignments
3Medicare enrollment records show Matthew Niesen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, WI 53925
- Reassigned Medicare billing, Wisconsin enrollment
- 115 clinicians in this Medicare group
Cottage Grove, WI 53527
- Reassigned Medicare billing, Wisconsin enrollment
- 86 clinicians in this Medicare group
Reedsburg, WI 53959
- Reassigned Medicare billing, Wisconsin enrollment
- 96 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Clare Hospital - Baraboo
Acute Care Hospitals · Baraboo, WIMarshfield Medical Center - Beaver Dam (mmc-Bd)
Acute Care Hospitals · Beaver Dam, WIColumbus Community Hospital
Critical Access Hospitals · Columbus, WIStoughton Hospital
Critical Access Hospitals · Stoughton, WIReedsburg Area Medical Center
Critical Access Hospitals · Reedsburg, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53925 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Niesen's NPI number?
The NPI number for Matthew Niesen is 1033349840. It was assigned to this individual provider in the NPPES registry on July 15, 2009.
Where is Matthew Niesen located?
Matthew Niesen practices at 1515 Park Ave, Columbus, WI 53925. The listed phone number is (920) 623-2200.
What is Matthew Niesen's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Matthew Niesen enrolled in Medicare?
Yes. Matthew Niesen 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 Matthew Niesen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Niesen reassigns Medicare benefits to 3 organizations: Prairie Ridge Health, Inc. (Columbus, WI), Stoughton Hospital Association (Cottage Grove, WI) and Reedsburg Area Medical Center, Inc. (Reedsburg, WI). 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 Matthew Niesen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Niesen accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Matthew Niesen 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 Matthew Niesen affiliated with any hospitals?
According to CMS data, Matthew Niesen is affiliated with Ssm Health St Clare Hospital - Baraboo, Marshfield Medical Center - Beaver Dam (mmc-Bd), Columbus Community Hospital, Stoughton Hospital and Reedsburg Area Medical Center.
When was this NPI record last updated?
The NPPES record for Matthew Niesen was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Matthew C Niesen, M.D. · NPI 1033349840
Orthopaedic Surgery physician in Columbus, Wisconsin. Individual provider, active in the CMS NPPES registry since July 15, 2009.
## Identity
- **NPI:** 1033349840 (Entity type: Individual)
- **Enumerated:** July 15, 2009
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 54971 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1515 PARK AVE, Columbus, WI 53925-1618
- **Phone:** (920) 623-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Prairie Ridge Health, Inc. (NPI 1912329335, Columbus, WI); Stoughton Hospital Association (NPI 1811733066, Cottage Grove, WI); Reedsburg Area Medical Center, Inc. (NPI 1891796710, Reedsburg, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** November 27, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1033349840) · Data from the CMS NPPES public registry.