DR. MATTHEW PAUL WHEELER MD
NPI 1285139733
Family Medicine in Hayward, WI

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
11134 N STATE ROAD 77, HAYWARD, WI 54843(715) 634-5505 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2021, Jun 29, 2021, Mar 27, 2018 (3 updates tracked since 2018).

About Dr. Matthew Paul Wheeler Md NPPES

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

DR. MATTHEW PAUL WHEELER MD (NPI 1285139733) is an individual family medicine provider in Hayward, Wisconsin, licensed in Wisconsin (72425-20) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Medical College Of Wisconsin (2018).

NPPES Registry Identity

NPI1285139733
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW PAUL WHEELERCredential: MD
Location Address11134 N STATE ROAD 77Hayward, WI 54843-5325
Mailing Address400 E 3rd StDuluth, MN 55805-1951
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateSeptember 15, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
NPI 1285139733 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 · 72425-20
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.

11134 N STATE ROAD 77, Hayward, WI 54843

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

Dr. Matthew Paul Wheeler 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 ID7214366293
PECOS Enrollment IDI20210927001257
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
73 services36 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
57 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims38 services$4.00 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$7.64 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$184.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
11134 N STATE ROAD 77
HAYWARD, WI 54843
Surgery
11134 N STATE ROAD 77, ESSENTIA HEALTH HAYWARD CLINIC
HAYWARD, WI 54843
Physician Assistant
11134 N STATE ROAD 77
HAYWARD, WI 54843
Physical Therapy Assistant
11134 N STATE ROAD 77
HAYWARD, WI 54843
Family Medicine
11134 N STATE ROAD 77
HAYWARD, WI 54843
Nurse Practitioner (Family)
11134 N STATE ROAD 77
HAYWARD, WI 54843
Specialist/Technologist (Athletic Trainer)
11134 N STATE ROAD 77
HAYWARD, WI 54843
Clinic/Center (Rural Health)
11134 N STATE ROAD 77
HAYWARD, WI 54843

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 Wheeler's NPI number?

The NPI number for Matthew Wheeler is 1285139733. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Matthew Wheeler located?

Matthew Wheeler practices at 11134 N State Road 77, Hayward, WI 54843. The listed phone number is (715) 634-5505.

What is Matthew Wheeler's specialty?

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

Is Matthew Wheeler enrolled in Medicare?

Yes. Matthew Wheeler 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 Wheeler accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Matthew Wheeler 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 Wheeler affiliated with any hospitals?

According to CMS data, Matthew Wheeler is affiliated with Essentia Health St Mary's Medical Center, St Marys Hospital Superior and Tamarack Health Hayward Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Wheeler was last updated on September 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.