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MATTHEW DAVID AMIDON D.O.
NPI 1164834735
Pediatrics in Milwaukee, WI

Active since May 29, 2014PECOS Enrolled
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-3360(414) 266-3563 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Matthew David Amidon D.o. NPPES

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

MATTHEW DAVID AMIDON D.O. (NPI 1164834735) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (67233) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164834735
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW DAVID AMIDONCredential: D.O.
Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-3360 · Fax (414) 266-3563
Phone(414) 266-3360
Fax(414) 266-3563
Sole ProprietorNo
Enumeration DateMay 29, 2014
Last NPPES UpdateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1164834735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 67233✔ Licensed in IL · 125.064656
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9000 W WISCONSIN AVE, Milwaukee, WI 53226
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Other Identifiers 1

Medicaid1164834735WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, 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 (PECOS)

Matthew David Amidon D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Matthew Amidon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Specialty Group, Inc.
0.3 mi
Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
NPI 1942970405 (414) 266-2000
The Medical College Of Wisconsin, Inc.
0.4 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

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.

MS. LESLIE L. TALBERT NP
Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3360
SARAH MARIE RUMLER DO
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

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 Amidon's NPI number?

The NPI number for Matthew Amidon is 1164834735. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Matthew Amidon located?

Matthew Amidon practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-3360.

What is Matthew Amidon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Amidon enrolled in Medicare?

Yes. Matthew Amidon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Amidon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Amidon reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (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 Amidon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Amidon accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Matthew Amidon 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.

When was this NPI record last updated?

The NPPES record for Matthew Amidon was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.