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MATHEW OTTO
NPI 1194130179
Physician Assistant in Milwaukee, WI

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 646-2550 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Nov 22, 2021 (2 updates tracked since 2021).

About Mathew Otto NPPES

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

MATHEW OTTO (NPI 1194130179) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (3324-23) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1194130179
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATHEW OTTO
Location Address2900 W OKLAHOMA AVEMilwaukee, WI 53215-4330
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (414) 646-2550
Phone(414) 646-2550
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 27, 2014
Last NPPES UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1194130179 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 · 3324-23
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.
2900 W OKLAHOMA AVE, Milwaukee, WI 53215
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Secondary Practice Location 1

Location 12801 W Kinnickinnic River Pkwy # 3Milwaukee, WI 53215-3669 · Phone (262) 391-5659

Other Identifiers 1

Medicaid100038892WI

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) and more.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

Mathew Otto 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 ID3678799020
PECOS Enrollment IDI20140722000282
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

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 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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.

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers22 claims3,690 services$0.31 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers30 claims30 services$12.65 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 20

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

MUHAMMAD AKBAR MD LLC
Clinic/Center (Primary Care)
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 365-3210
DR. JEFFREY T LYVERS M.D.
Anesthesiology
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
JESSICA MCDOWELL
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-5279
MARA STASIK PA-C
Physician Assistant
2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215
Milwaukee County (414) 646-2550
SARAH J PARVE NP
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
DR. RILEY MARINELLI PT, DPT
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6011
ASHLEY MARIE ALTER PHARMD
Pharmacist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6930
DR. LAUREL THOME DPT
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6220

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 Mathew Otto's NPI number?

The NPI number for Mathew Otto is 1194130179. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Mathew Otto located?

Mathew Otto practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 646-2550.

What is Mathew Otto's specialty?

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

Is Mathew Otto enrolled in Medicare?

Yes. Mathew Otto 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 Mathew Otto accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Mathew Otto 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 Mathew Otto affiliated with any hospitals?

According to CMS data, Mathew Otto is affiliated with Aurora Medical Ctr Washington County and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Mathew Otto was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.