DR. MATTHEW PAUL WONNACOTT MD
NPI 1144214495
Family Medicine in South Lake Tahoe, CA

Active since September 01, 2005PECOS EnrolledAccepts Medicare Assignment
93.73/100
CMS Quality Rating
2201 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 543-5623(530) 541-5738 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 2, 2017 (2 updates tracked since 2017).

About Dr. Matthew Paul Wonnacott Md NPPES

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

DR. MATTHEW PAUL WONNACOTT MD (NPI 1144214495) is an individual family medicine provider in South Lake Tahoe, California, licensed in California (A64012) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Carson Tahoe Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1144214495
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW PAUL WONNACOTTCredential: MD
Location Address2201 SOUTH AVESouth Lake Tahoe, CA 96150-7025
Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5659 · Fax (530) 541-8723
Fax(530) 541-5738
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 1, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1144214495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A64012
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2201 SOUTH AVE, South Lake Tahoe, CA 96150

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

Dr. Matthew Paul Wonnacott 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 ID5496067423
PECOS Enrollment IDI20170522002601, I20241210004874
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 22

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.
474 services268 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
420 services241 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
130 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
127 services127 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
103 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
100 services100 patients

Hospital Affiliations CMS Care Compare 2

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

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290019
Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County
Emergency services Birthing friendly

Carson Valley Health

Critical Access Hospitals · Gardnerville, NV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number291306
Location1107 Highway 395Gardnerville, NV 89410 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96150 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

93.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.26
Promoting Interoperability100
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.

Nurse Practitioner (Family)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Clinic/Center (Rural Health)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physician Assistant
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Nurse Practitioner (Primary Care)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physician Assistant
2201 SOUTH AVE, STE B
SOUTH LAKE TAHOE, CA 96150
Family Medicine
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physician Assistant
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Clinic/Center (Rural Health)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150

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 Wonnacott's NPI number?

The NPI number for Matthew Wonnacott is 1144214495. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Matthew Wonnacott located?

Matthew Wonnacott practices at 2201 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-5623.

What is Matthew Wonnacott's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Wonnacott enrolled in Medicare?

Yes. Matthew Wonnacott 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.

Is Matthew Wonnacott affiliated with any hospitals?

According to CMS data, Matthew Wonnacott is affiliated with Carson Tahoe Regional Medical Center and Carson Valley Health.

When was this NPI record last updated?

The NPPES record for Matthew Wonnacott was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.