MATTHEW GREGORY PIPHO M.D.
NPI 1285054064
Radiology - Diagnostic Radiology in Verona, WI

Q: What is Matthew Pipho's NPI number?

The NPI number for Matthew Pipho is 1285054064. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Q: What is Matthew Pipho's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Pipho was last updated on July 22, 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.

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment

9306 BRIAR HAVEN DR, VERONA, WI 53593(000) 000-0000 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2020, Feb 14, 2017 (2 updates tracked since 2017).

On this page

About Matthew Gregory Pipho M.d. NPPES

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

MATTHEW GREGORY PIPHO M.D. (NPI 1285054064) is an individual diagnostic radiology provider in Verona, Wisconsin, licensed in Wisconsin (66611-20) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mercyone Dubuque Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285054064

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMATTHEW GREGORY PIPHOCredential: M.D.

Location Address9306 BRIAR HAVEN DRVerona, WI 53593-8791

Mailing Address9306 Briar Haven DrVerona, WI 53593-8791

Phone(000) 000-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 21, 2014

Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration

NPPES CertifiedJuly 22, 2020

✔ NPI 1285054064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in WI · 66611-20

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

9306 BRIAR HAVEN DR, Verona, WI 53593

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Group Health Cooperative-SCW and more.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

Matthew Gregory Pipho M.d. 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 ID8022311919

PECOS Enrollment IDI20180727001547, I20200610000637, I20200612002576, I20250604001243, I20250626003416, I20260418000289

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

Medicare enrollment records show Matthew Pipho reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upland Hills Health, Inc

9.1 mi

Family Medicine

1809 SPRINGDALE STREET
Mount Horeb, WI 53572

Reassigned Medicare billing, Wisconsin enrollment
166 clinicians in this Medicare group

NPI 1245628452 (608) 930-8000

Mercy Health System Corporation

36 mi

General Acute Care Hospital

1000 MINERAL POINT AVE
Janesville, WI 53548

Reassigned Medicare billing, Wisconsin enrollment
1,155 clinicians in this Medicare group

NPI 1093768962 (608) 756-6000

Midwest Medical Center

61 mi

Clinic/Center

117 N MAIN ST
Elizabeth, IL 61028

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1952409765 (Illinois)
51 clinicians in this Medicare group

NPI 1295126944 (815) 858-2238

Mercy Radiologists Of Dubuque, P.C.

69 mi

Diagnostic Radiology

250 MERCY DR
Dubuque, IA 52001

Reassigned Medicare billing, Iowa enrollment
Medicare enrollment name: Mercy Radiologists Of Dubuque PC
8 clinicians in this Medicare group

NPI 1013968205 (563) 589-8796

Mercy Medical Center-Dubuque

69 mi

General Acute Care Hospital

250 MERCY DR
Dubuque, IA 52001

Reassigned Medicare billing, Iowa enrollment
94 clinicians in this Medicare group

NPI 1659348506 (563) 589-8000

Mercy Medical Center-Dyersville

90 mi

Critical Access

1111 3RD ST SW
Dyersville, IA 52040

Reassigned Medicare billing, Iowa enrollment
62 clinicians in this Medicare group

NPI 1205816725 (563) 875-7101

Central Community Hospital

93 mi

Rural Health

101 FRANKLIN ST
Monona, IA 52159

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1184645434 (Iowa)
51 clinicians in this Medicare group

NPI 1679158737 (563) 245-7000

Munson Medical Group

228 mi

Diagnostic Radiology

1105 SIXTH ST
Traverse City, MI 49684

Reassigned Medicare billing, Michigan enrollment
43 clinicians in this Medicare group

NPI 1851243901 (231) 935-7941

Great Lakes Radiology Services

313 mi

Diagnostic Radiology

729 W ANN ARBOR TRL STE 2
Plymouth, MI 48170

Reassigned Medicare billing, Iowa enrollment
2 clinicians in this Medicare group

NPI 1891529111 (734) 673-3764

Boone Physician Services, LLC

318 mi

Multi-Specialty

1600 E BROADWAY
Columbia, MO 65201

Reassigned Medicare billing, Missouri enrollment
302 clinicians in this Medicare group

NPI 1760893259 (573) 815-6245

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 53

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

284 services223 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

182 services167 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

172 services172 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

172 services172 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

150 services141 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

90 services86 patients

X-ray of chest, 2 views 71046

78 services75 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

73 services69 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

45 services42 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

45 services40 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

42 services37 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

30 services23 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

30 services29 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

27 services27 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

26 services26 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

25 services25 patients

Screening 3d breast mammography 77063

25 services25 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

25 services24 patients

Screening mammography 77067

25 services25 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

24 services24 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

23 services23 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

23 services23 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

23 services22 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

22 services22 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

21 services17 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

21 services18 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

21 services20 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

20 services20 patients

Ct scan of chest without contrast 71250

19 services18 patients

Ct scan of abdomen and pelvis with contrast 74177

19 services19 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

19 services19 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

19 services19 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

18 services18 patients

X-ray of lower and sacral spine, 2-3 views 72100

17 services16 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

17 services17 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

16 services16 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

16 services15 patients

Limited ultrasound scan of abdomen 76705

16 services16 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

14 services13 patients

X-ray of lower leg, 2 views 73590

An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.

14 services13 patients

Complete ultrasound scan behind abdominal cavity 76770

14 services13 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

13 services11 patients

X-ray of hip, 2-3 views 73502

13 services13 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

13 services12 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

13 services13 patients

X-ray of shoulder, minimum of 2 views 73030

12 services12 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

12 services11 patients

X-ray of foot, minimum of 3 views 73630

12 services11 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

12 services12 patients

Ultrasound of both sides of head and neck blood flow 93880

12 services12 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

12 services12 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

11 services11 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mercyone Dubuque Medical Center

Acute Care Hospitals · Dubuque, IA

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160069

Location250 Mercy DriveDubuque, IA 52001 · Dubuque County

Emergency services Birthing friendly

Mercyone Elkader Medical Center

Critical Access Hospitals · Elkader, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161319

Location901 Davidson Street NWElkader, IA 52043 · Clayton County

Emergency services

Mercyone Dyersville Medical Center

Critical Access Hospitals · Dyersville, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161378

Location1111 3rd Street SWDyersville, IA 52040 · Dubuque County

Emergency services

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53593 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.

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 Pipho's NPI number?

The NPI number for Matthew Pipho is 1285054064. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Matthew Pipho located?

Matthew Pipho practices at 9306 Briar Haven Dr, Verona, WI 53593. The listed phone number is (000) 000-0000.

What is Matthew Pipho's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Matthew Pipho enrolled in Medicare?

Yes. Matthew Pipho 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 Matthew Pipho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Pipho reassigns Medicare benefits to 14 organizations: Upland Hills Health, Inc (Mount Horeb, WI), Mercy Health System Corporation (Janesville, WI), Midwest Medical Center (Elizabeth, IL), Mercy Radiologists Of Dubuque, P.C. (Dubuque, IA), Mercy Medical Center-Dubuque (Dubuque, IA) and 9 more organizations, listed in the Medicare section above. 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 Pipho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Pipho accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Group Health Cooperative-SCW, Oscar Health and Oscar Insurance Company and 1 other insurer list Matthew Pipho 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 Matthew Pipho affiliated with any hospitals?

According to CMS data, Matthew Pipho is affiliated with Mercyone Dubuque Medical Center, Mercyone Elkader Medical Center, Mercyone Dyersville Medical Center and Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Pipho was last updated on July 22, 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.