MATTHEW J ANDERSON M.D.
NPI 1285922567
Internal Medicine - Critical Care Medicine in Madison, WI

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
700 S PARK ST, MADISON, WI 53715(608) 251-6100 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2017, Jun 27, 2016 (2 updates tracked since 2016).

About Matthew J Anderson M.d. NPPES

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

MATTHEW J ANDERSON M.D. (NPI 1285922567) is an individual critical care medicine provider in Madison, Wisconsin, licensed in Wisconsin (60766-20) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285922567
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMATTHEW J ANDERSONCredential: M.D.
Location Address700 S PARK STMadison, WI 53715-1830
Mailing Address700 S Park StMadison, WI 53715-1830 · (608) 251-6100
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 20, 2011
Last NPPES UpdateJanuary 19, 20172 updates tracked since enumeration
NPI 1285922567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in WI · 60766-20
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
700 S PARK ST, Madison, WI 53715

Other Identifiers 3

Medicaid1285922567WI
OtherP01753348WI · Railroad Medicare
Medicare PINK400307026WI

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 J Anderson 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 ID3678708971
PECOS Enrollment IDI20170905001903
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 4

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.
148 services58 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.
132 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
70 services45 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
68 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
700 S PARK ST
MADISON, WI 53715
Physician Assistant (Surgical)
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Physician Assistant
700 S PARK ST, DEAN MEDICAL CENTER
MADISON, WI 53715
Anesthesiology
700 S PARK ST
MADISON, WI 53715
Internal Medicine (Cardiovascular Disease)
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Nurse Practitioner
700 S PARK ST
MADISON, WI 53715
Nurse Anesthetist, Certified Registered
700 S PARK ST
MADISON, WI 53715

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 Anderson's NPI number?

The NPI number for Matthew Anderson is 1285922567. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Matthew Anderson located?

Matthew Anderson practices at 700 S Park St, Madison, WI 53715. The listed phone number is (608) 251-6100.

What is Matthew Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Matthew Anderson enrolled in Medicare?

Yes. Matthew Anderson 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 Anderson accept?

Health plans from Avera Health Plans, Medica and Oscar Insurance Company list Matthew Anderson 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 Anderson affiliated with any hospitals?

According to CMS data, Matthew Anderson is affiliated with Monument Health Spearfish Hospital and Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Anderson was last updated on January 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.