MATTHEW C NIESEN M.D.
NPI 1033349840
Orthopaedic Surgery in Columbus, WI

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
97.59/100
CMS Quality Rating
1515 PARK AVE, COLUMBUS, WI 53925(920) 623-2200 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2020, Sep 23, 2016 (2 updates tracked since 2016).

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 Marshfield Medical Center - Beaver Dam (mmc-bd), and maintains a secondary practice location in Beaver Dam.

NPPES Registry Identity

NPI1033349840
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMATTHEW C NIESENCredential: M.D.
Location Address1515 PARK AVEColumbus, WI 53925-1618
Mailing Address1515 Park AveColumbus, WI 53925-1618 · (920) 623-2200
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2009
Enumeration DateJuly 15, 2009
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
NPI 1033349840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 54971
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1515 PARK AVE, Columbus, WI 53925

Secondary Practice Location 1

Location 1118 W Maple AveBeaver Dam, WI 53916-2104 · Phone (920) 356-1000

Accepted 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

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.

PECOS PAC ID2567682164
PECOS Enrollment IDI20150716001346
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Reedsburg Area Medical Center

Critical Access Hospitals · Reedsburg, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521351
Location2000 N Dewey AveReedsburg, WI 53959 · Sauk County
Emergency services

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

97.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.16
Improvement Activities40

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.

Family Medicine
1515 PARK AVE
COLUMBUS, WI 53925
Psychiatry & Neurology (Psychiatry)
1515 PARK AVE
COLUMBUS, WI 53925
Registered Nurse (Diabetes Educator)
1515 PARK AVE
COLUMBUS, WI 53925
Pharmacist
1515 PARK AVE
COLUMBUS, WI 53925
Allergy & Immunology
1515 PARK AVE
COLUMBUS, WI 53925
Physical Therapist
1515 PARK AVE
COLUMBUS, WI 53925
Dietitian, Registered
1515 PARK AVE
COLUMBUS, WI 53925
Dietitian, Registered
1515 PARK AVE
COLUMBUS, WI 53925

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.

What insurance does Matthew Niesen accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus 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 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 with the weekly NPPES data releases published by CMS.