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

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: August 09, 2026.

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

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
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

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

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.

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

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.

What insurance does Matthew Pipho accept?

Health plans from Group Health Cooperative-SCW and Oscar Insurance Company 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.