MATHEW DONALD ENGMANN DO
NPI 1225535131
Family Medicine in Milwaukee, WI

Active since April 07, 2018PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
1121 E NORTH AVE, MILWAUKEE, WI 53212(414) 267-6502(414) 267-3892 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mathew Donald Engmann Do NPPES

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

MATHEW DONALD ENGMANN DO (NPI 1225535131) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (72928) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1225535131
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATHEW DONALD ENGMANNCredential: DO
Location Address1121 E NORTH AVEMilwaukee, WI 53212-3515
Mailing Address1121 E North AveMilwaukee, WI 53212-3515 · (414) 267-6502 · Fax (414) 267-3892
Fax(414) 267-3892
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2018
Enumeration DateApril 7, 2018
Last NPPES UpdateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
NPI 1225535131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 72928
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.
1121 E NORTH AVE, Milwaukee, WI 53212

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

Mathew Donald Engmann Do 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 ID2264853217
PECOS Enrollment IDI20210916000460
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 3

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.
62 services35 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.
17 services17 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

Case Manager/Care Coordinator
1121 E NORTH AVE, COLUMBIA ST MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Nurse Practitioner (Family)
1121 E NORTH AVE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE
MILWAUKEE, WI 53212

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 Engmann's NPI number?

The NPI number for Mathew Engmann is 1225535131. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Where is Mathew Engmann located?

Mathew Engmann practices at 1121 E North Ave, Milwaukee, WI 53212. The listed phone number is (414) 267-6502.

What is Mathew Engmann's specialty?

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

Is Mathew Engmann enrolled in Medicare?

Yes. Mathew Engmann 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 Engmann accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Mathew Engmann 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 Engmann affiliated with any hospitals?

According to CMS data, Mathew Engmann is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Mathew Engmann was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.