MATTHEW J ANDERSON M.D.
NPI 1285922567
Internal Medicine - Critical Care Medicine in Madison, WI
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 Rapid City Hospital, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wall, SD 57790
- Reassigned Medicare billing, South Dakota enrollment
- 831 clinicians in this Medicare group
Johnstown, CO 80534
- Reassigned Medicare billing, South Dakota enrollment
- 4 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDPhysician 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.
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.
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.
MADISON, WI 53715
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.
Which organizations bill Medicare for Matthew Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Anderson reassigns Medicare benefits to 2 organizations: Monument Health Rapid City Hospital, Inc. (Wall, SD) and Vibra Physicians LLC (Johnstown, CO). 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 Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Anderson accept?
Health plans from Avera Health Plans, Oscar Insurance Company and Wellmark of South Dakota, Inc. 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Matthew J Anderson, M.D. · NPI 1285922567
Critical Care Medicine physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since July 20, 2011.
## Identity
- **NPI:** 1285922567 (Entity type: Individual)
- **Enumerated:** July 20, 2011
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 60766-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 S PARK ST, Madison, WI 53715-1830
- **Phone:** (608) 251-6100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Monument Health Rapid City Hospital, Inc. (NPI 1265811285, Wall, SD); Vibra Physicians LLC (NPI 1659705424, Johnstown, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 19, 2017
- **Other identifiers:** Medicaid 1285922567 (WI); Other P01753348 (WI); Medicare PIN K400307026 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1285922567) · Data from the CMS NPPES public registry.