DR. MATTI PEKKA ASUMA MD
NPI 1235529702
Orthopaedic Surgery in Platteville, WI

Active since February 04, 2015PECOS EnrolledAccepts Medicare Assignment
66.37/100
CMS Quality Rating
1400 EASTSIDE RD, PLATTEVILLE, WI 53818(083) 482-3316(513) 854-9921 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2023, Nov 21, 2019 (2 updates tracked since 2019).

About Dr. Matti Pekka Asuma Md NPPES

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

DR. MATTI PEKKA ASUMA MD (NPI 1235529702) is an individual orthopaedic surgery provider in Platteville, Wisconsin, licensed in Wisconsin (85791-20) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Grant Regional Health Center, and is a graduate of University Of Wisconsin School Of Medicine (2015).

NPPES Registry Identity

NPI1235529702
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MATTI PEKKA ASUMACredential: MD
Location Address1400 EASTSIDE RDPlatteville, WI 53818-9800
Mailing Address1400 Eastside RdPlatteville, WI 53818-9800 · (083) 482-3316 · Fax (513) 854-9921
Fax(513) 854-9921
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2015
Enumeration DateFebruary 4, 2015
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1235529702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in WI · 85791-20✔ Licensed in OH · 35.149240✔ Licensed in NE · 29493✔ Licensed in KS · 04-43200
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 29493 (NE)
1400 EASTSIDE RD, Platteville, WI 53818

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matti Pekka Asuma 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 ID1850669995
PECOS Enrollment IDI20250902002178
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 Matti Asuma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Unit
1400 EASTSIDE RD
Platteville, WI 53818
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1831279793 (Wisconsin)
  • 175 clinicians in this Medicare group
Specialist
500 E BUSINESS WAY
Cincinnati, OH 45241
  • Reassigned Medicare billing, Ohio enrollment
  • 423 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
26 services25 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Grant Regional Health Center

Critical Access Hospitals · Lancaster, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521322
Location507 S Monroe StLancaster, WI 53813 · Grant County
Emergency services

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53818 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.

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.

66.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.18
Promoting Interoperability68
Improvement Activities40
Cost45.41

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.

Surgery
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Social Worker (Clinical)
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Pharmacy (Long Term Care Pharmacy)
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Occupational Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Occupational Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Physical Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Non-Pharmacy Dispensing Site
1400 EASTSIDE RD
PLATTEVILLE, WI 53818
Physical Therapist
1400 EASTSIDE RD
PLATTEVILLE, WI 53818

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 Matti Asuma's NPI number?

The NPI number for Matti Asuma is 1235529702. It was assigned to this individual provider in the NPPES registry on February 4, 2015.

Where is Matti Asuma located?

Matti Asuma practices at 1400 Eastside Rd, Platteville, WI 53818. The listed phone number is (083) 482-3316.

What is Matti Asuma's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matti Asuma enrolled in Medicare?

Yes. Matti Asuma 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.

Which organizations bill Medicare for Matti Asuma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matti Asuma reassigns Medicare benefits to 2 organizations: Southwest Health Center, Inc. (Platteville, WI) and Beacon Orthopaedics & Sports Medicine, Ltd (Cincinnati, OH). 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 Matti Asuma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matti Asuma accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Dean Health Plan and Quartz list Matti Asuma 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 Matti Asuma affiliated with any hospitals?

According to CMS data, Matti Asuma is affiliated with Grant Regional Health Center and Southwest Health Center.

When was this NPI record last updated?

The NPPES record for Matti Asuma was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.