DR. MATTHEW ALAN DAHLGREN M.D.
NPI 1154371367
Ophthalmology in Elkhorn, WI

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
76.39/100
CMS Quality Rating
1311 S LINCOLN ST, ELKHORN, WI 53121(262) 723-4600(262) 723-4710 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Alan Dahlgren M.d. NPPES

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

DR. MATTHEW ALAN DAHLGREN M.D. (NPI 1154371367) is an individual ophthalmology provider in Elkhorn, Wisconsin, licensed in Wisconsin (48956-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and is a graduate of Medical College Of Wisconsin (2001).

NPPES Registry Identity

NPI1154371367
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MATTHEW ALAN DAHLGRENCredential: M.D.
Location Address1311 S LINCOLN STElkhorn, WI 53121-4375
Mailing Address1311 S Lincoln StElkhorn, WI 53121-4375 · (262) 723-4600 · Fax (262) 723-4710
Fax(262) 723-4710
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2001
Enumeration DateMay 10, 2006
Last NPPES UpdateApril 21, 2009
NPI 1154371367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WI · 48956-020
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1311 S LINCOLN ST, Elkhorn, WI 53121

Other Identifiers 6

Medicaid34667800WI
Other$$$$$$$$$006WI · Anthem Bcbs
Medicare UPINI37116
Medicare PINP00327573WI
Medicare PIN002368570WI
Medicare PIN002702650WI

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

Dr. Matthew Alan Dahlgren 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 ID9638109713
PECOS Enrollment IDI20060919000472
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 16

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
584 services568 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.
322 services201 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
171 services121 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
158 services100 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
139 services133 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
139 services100 patients

Hospital Affiliations CMS Care Compare

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

76.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.41
Promoting Interoperability99
Improvement Activities40
Cost36.73

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
99%216 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
77%43 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
15%3,459 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%263 patients
Provide Patients Electronic Access to Their Health Information
98%983 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
67%39 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers19 claims19 services$52.19 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims24 services$52.45 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 4

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

Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121
Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121
Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121
Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121

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 Dahlgren's NPI number?

The NPI number for Matthew Dahlgren is 1154371367. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Matthew Dahlgren located?

Matthew Dahlgren practices at 1311 S Lincoln St, Elkhorn, WI 53121. The listed phone number is (262) 723-4600.

What is Matthew Dahlgren's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Matthew Dahlgren enrolled in Medicare?

Yes. Matthew Dahlgren 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 Dahlgren accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Matthew Dahlgren 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 Dahlgren affiliated with any hospitals?

According to CMS data, Matthew Dahlgren is affiliated with Aurora Memorial Hospital Burlington.

When was this NPI record last updated?

The NPPES record for Matthew Dahlgren was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.