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MATTHEW PAUL DOERING MD
NPI 1255439543
Surgery in Madison, WI

Active since September 20, 2006PECOS Enrolled
87.05/100
CMS Quality Rating
1202 WILLIAMSON ST STE 101, MADISON, WI 53703(608) 676-7826 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2026, Dec 27, 2024, Nov 16, 2023 and 1 more (4 updates tracked since 2019).

About Matthew Paul Doering Md NPPES

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

MATTHEW PAUL DOERING MD (NPI 1255439543) is an individual surgery provider in Madison, Wisconsin, licensed in Wisconsin (29984) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255439543
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMATTHEW PAUL DOERINGCredential: MD
Location Address1202 WILLIAMSON ST STE 101Madison, WI 53703-4806
Mailing Address1202 Williamson St Ste 101Madison, WI 53703-4806 · (608) 676-7826
Phone(608) 676-7826
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1255439543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 29984
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1202 WILLIAMSON ST STE 101, Madison, WI 53703
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Paul Doering Md 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

3

Medicare enrollment records show Matthew Doering reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaver Dam Community Hosptials Inc
25 mi
Family Medicine
1580 W JAMES ST
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Beaver Dam Community Hospitals Inc.
  • 1,447 clinicians in this Medicare group
NPI 1275833659 (920) 350-0235
Aspirus Riverview Hospital & Clinics, Inc.
65 mi
Multi-Specialty
419 N OAK ST
Adams, WI 53910
  • Reassigned Medicare billing, Wisconsin enrollment
  • 397 clinicians in this Medicare group
NPI 1114411287 (608) 339-5250
Aspirus Medford Hospital & Clinics, Inc.
139 mi
Rural Health
729 PINE ST
Athens, WI 54411
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
NPI 1760912919 (715) 748-8100

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 5

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.
297 services105 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
252 services58 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
73 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
72 services72 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53703 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.

87.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.58
Promoting Interoperability82.55
Improvement Activities40

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.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
4 suppliers12 claims442 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
4 suppliers12 claims696 services$0.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Doering's NPI number?

The NPI number for Matthew Doering is 1255439543. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Matthew Doering located?

Matthew Doering practices at 1202 Williamson St Ste 101, Madison, WI 53703. The listed phone number is (608) 676-7826.

What is Matthew Doering's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Doering enrolled in Medicare?

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

Which organizations bill Medicare for Matthew Doering's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Doering reassigns Medicare benefits to 3 organizations: Beaver Dam Community Hosptials Inc (Columbus, WI), Aspirus Riverview Hospital & Clinics, Inc. (Adams, WI) and Aspirus Medford Hospital & Clinics, Inc. (Athens, 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 Doering's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Doering was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.