1. Home
  2. Directory
  3. Wisconsin
  4. Racine
  5. Physician Assistant
  6. NPI Profile

MATTHEW T CZERNIAK PA-C
NPI 1104058528
Physician Assistant in Racine, WI

Active since August 18, 2009PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
3801 SPRING ST, RACINE, WI 53405(262) 687-4479 Get Directions Write a Review

NPPES record last updated: August 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew T Czerniak Pa-c NPPES

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

MATTHEW T CZERNIAK PA-C (NPI 1104058528) is an individual physician assistant in Racine, Wisconsin, licensed in Wisconsin (2489-023) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1104058528
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW T CZERNIAKCredential: PA-C
Location Address3801 SPRING STRacine, WI 53405-1667
Mailing Address3805b Spring St, Suite #230Racine, WI 53405-1641 · (262) 687-4479
Phone(262) 687-4479
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 18, 2009
✔ NPI 1104058528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 2489-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3801 SPRING ST, Racine, WI 53405
Open in Google Maps ↗

Other Identifiers 1

Other2489-023WI · Wisconsin License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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 T Czerniak Pa-c 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 ID4789739327
PECOS Enrollment IDI20090902000468
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 6

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
23 services22 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
18 services18 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
18 services17 patients
Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
15 services12 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
14 services13 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%68 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JANE COLLINS RD
Dietitian, Registered
3801 SPRING ST
RACINE, WI 53405
Racine County (262) 687-5035
DR. VIJAYASHREE P SHANKAR
Anesthesiology
3801 SPRING ST
RACINE, WI 53405
Racine County (262) 687-4011
MAGGIE A RASKIN CRNA
Nurse Anesthetist, Certified Registered
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
MR. MARK A. PELTON RPH
Pharmacist
3801 SPRING ST
RACINE, WI 53405
Racine County (262) 687-5108
JENNIFER SCIDMORE PA-C
Physician Assistant
3801 SPRING ST
RACINE, WI 53405
Racine County (262) 687-4011
JOSHUA DELAROSA MPAS, PA-C
Physician Assistant
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
MIDWEST CRITICAL CARE SC
Internal Medicine (Critical Care Medicine)
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
JOSHUA RAYMOND BABCOCK PA-C
Physician Assistant
3801 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011

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 Czerniak's NPI number?

The NPI number for Matthew Czerniak is 1104058528. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is Matthew Czerniak located?

Matthew Czerniak practices at 3801 Spring St, Racine, WI 53405. The listed phone number is (262) 687-4479.

What is Matthew Czerniak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Czerniak enrolled in Medicare?

Yes. Matthew Czerniak 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 Czerniak accept?

Health plans from CareSource (Common Ground Healthcare) list Matthew Czerniak 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 Czerniak affiliated with any hospitals?

According to CMS data, Matthew Czerniak is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Czerniak was last updated on August 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.