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MATTHEW LOCHEN M.D.
NPI 1134418486
Emergency Medicine in Madison, WI

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment
95.03/100
CMS Quality Rating
700 S. PARK STREET, DEPARTMENT OF EMERGENCY MEDICINE, MADISON, WI 53715(608) 258-6504 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Lochen M.d. NPPES

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

MATTHEW LOCHEN M.D. (NPI 1134418486) is an individual emergency medicine provider in Madison, Wisconsin, licensed in Wisconsin (59937-20) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Medical College Of Wisconsin (2011).

NPPES Registry Identity

NPI1134418486
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW LOCHENCredential: M.D.
Location Address700 S. PARK STREET, DEPARTMENT OF EMERGENCY MEDICINEMadison, WI 53715
Mailing Address9200 W Wisconsin Ave, Department Of Emergency MedicineMilwaukee, WI 53226-3522 · (414) 805-6450
Phone(608) 258-6504
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2011
Enumeration DateApril 6, 2011
Last NPPES UpdateFebruary 6, 2018
✔ NPI 1134418486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 59937-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
700 S. PARK STREET, Madison, WI 53715
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Lochen 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 ID3779707062
PECOS Enrollment IDI20140605002147
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

3

Medicare enrollment records show Matthew Lochen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Madison Emergency Physicians, Sc
Same address
Emergency Medicine
700 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 103 clinicians in this Medicare group
NPI 1588646095 (608) 258-6100
Prairie Ridge Health Inc.
11 mi
Family Medicine
155 SOUTH MALLARD DRIVE
Sun Prairie, WI 53590
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1841376183 (Wisconsin)
  • 115 clinicians in this Medicare group
NPI 1699534545 (920) 623-2200
Emergency Medicine Specialists, S.C.
62 mi
Emergency Medicine
10625 W NORTH AVE, SUITE 102
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Emergency Medicine Specialists Sc
  • 244 clinicians in this Medicare group
NPI 1568413524 (414) 877-5350

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
205 services201 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
204 services179 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services43 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$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.

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.

95.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Improvement Activities40
Cost82.55

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 Lochen's NPI number?

The NPI number for Matthew Lochen is 1134418486. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Matthew Lochen located?

Matthew Lochen practices at 700 S. Park Street Department Of Emergency Medicine, Madison, WI 53715. The listed phone number is (608) 258-6504.

What is Matthew Lochen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Lochen enrolled in Medicare?

Yes. Matthew Lochen 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 Lochen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Lochen reassigns Medicare benefits to 3 organizations: Madison Emergency Physicians, Sc (Madison, WI), Prairie Ridge Health Inc. (Sun Prairie, WI) and Emergency Medicine Specialists, S.C. (Milwaukee, 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 Lochen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Lochen accept?

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

According to CMS data, Matthew Lochen is affiliated with Ascension NE Wisconsin - St Elizabeth Campus, Ssm Health St Clare Hospital - Baraboo, St. Agnes Hospital Hospice and Columbus Community Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Lochen was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.