MATTHEW J. MOUSER MD
NPI 1093767097
Internal Medicine in Fergus Falls, WI

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
85.21/100
CMS Quality Rating
712 SOUTH CASCADE STREET, FERGUS FALLS, WI 56537(218) 736-8000(218) 736-8757 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew J. Mouser Md NPPES

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

MATTHEW J. MOUSER MD (NPI 1093767097) is an individual internal medicine provider in Fergus Falls, Wisconsin, licensed in Minnesota (50543) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Region Healthcare Corporation, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1093767097
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATTHEW J. MOUSERCredential: MD
Location Address712 SOUTH CASCADE STREETFergus Falls, WI 56537-2813
Mailing Address712 South Cascade StreetFergus Falls, WI 56537-2813 · (218) 736-8000 · Fax (218) 736-8757
Fax(218) 736-8757
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 16, 2017
NPI 1093767097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MN · 50543 Licensed in WI · 48579
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.
712 SOUTH CASCADE STREET, Fergus Falls, WI 56537

Other Identifiers 3

Medicaid34803500WI
Medicare ID-Type Unspecified0896WI
Medicare UPINI46394

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 J. Mouser Md 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 ID6608897525
PECOS Enrollment IDI20080804000570
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 8

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.
187 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services30 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
44 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
39 services36 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
31 services23 patients
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.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Lake Region Healthcare Corporation

Acute Care Hospitals · Fergus Falls, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240052
Location712 South Cascade StreetFergus Falls, MN 56537 · Otter Tail County
Emergency services

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241379
Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56537 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

85.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.39
Promoting Interoperability96
Improvement Activities40
Cost67.66

Referred Medical Equipment & Supplies CMS DME claims 7

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

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier11 claims190 services$2.34 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims375 services$0.23 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 supplier16 claims17 services$19.98 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$43.18 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
1 supplier16 claims17 services$109.44 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier19 claims1,590 services$0.10 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 20

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

Clinical Nurse Specialist
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Ophthalmology
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Surgery
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Optometrist
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Pediatrics
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Nurse Practitioner (Gerontology)
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Family Medicine
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Ophthalmology
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537

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 Mouser's NPI number?

The NPI number for Matthew Mouser is 1093767097. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Matthew Mouser located?

Matthew Mouser practices at 712 South Cascade Street, Fergus Falls, WI 56537. The listed phone number is (218) 736-8000.

What is Matthew Mouser's specialty?

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

Is Matthew Mouser enrolled in Medicare?

Yes. Matthew Mouser 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 Mouser accept?

Health plans from Medica and Sanford Health Plan list Matthew Mouser 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 Mouser affiliated with any hospitals?

According to CMS data, Matthew Mouser is affiliated with Lake Region Healthcare Corporation, Prairie Ridge Hospital And Health Services and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Matthew Mouser was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.