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MATTHEW WALTER WILKENING MD
NPI 1295174753
Orthopaedic Surgery in Nashua, NH

Active since June 18, 2013PECOS EnrolledAccepts Medicare Assignment
63.06/100
CMS Quality Rating
17 RIVERSIDE ST STE 101, NASHUA, NH 03062(603) 883-0091(603) 881-3739 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, Oct 2, 2019, Aug 9, 2019 and 1 more (4 updates tracked since 2018).

About Matthew Walter Wilkening Md NPPES

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

MATTHEW WALTER WILKENING MD (NPI 1295174753) is an individual orthopaedic surgery provider in Nashua, New Hampshire, licensed in New Hampshire (19553) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2013).

NPPES Registry Identity

NPI1295174753
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMATTHEW WALTER WILKENINGCredential: MD
Location Address17 RIVERSIDE ST STE 101Nashua, NH 03062-1383
Mailing Address17 Riverside St Ste 101Nashua, NH 03062-1383 · (603) 883-0091 · Fax (603) 881-3739
Phone(603) 883-0091
Fax(603) 881-3739
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2013
Enumeration DateJune 18, 2013
Last NPPES UpdateNovember 20, 20234 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1295174753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NH · 19553✔ Licensed in MI · 4301103221✔ Licensed in MD · D85867
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 19553 (NH)
17 RIVERSIDE ST STE 101, Nashua, NH 03062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.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 Walter Wilkening 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 ID7810126380
PECOS Enrollment IDI20190710002412
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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
184 services135 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services83 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.
99 services68 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
44 services44 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
24 services18 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Parkland Medical Center

Acute Care Hospitals · Derry, NH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number300017
Location1 Parkland DriveDerry, NH 03038 · Rockingham County
Emergency services

Catholic Medical Center

Acute Care Hospitals · Manchester, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300034
Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03062 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

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.

63.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality41.29
Promoting Interoperability81
Improvement Activities40
Cost51.41

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.

CHRISTIAN MATTHEW KLARE M.D.
Orthopaedic Surgery
17 RIVERSIDE ST STE 101
NASHUA, NH 03062
Hillsborough County (603) 883-0091
LYNN NOVIER OTR
Occupational Therapist (Hand)
17 RIVERSIDE ST STE 101
NASHUA, NH 03062
Hillsborough County (603) 883-0091
NORTHEAST ORTHOPAEDIC ALLIANCE PLLC
Durable Medical Equipment & Medical Supplies
17 RIVERSIDE ST STE 101
NASHUA, NH 03062
Hillsborough County (603) 883-0091
BRYAN BEAN MD
Orthopaedic Surgery
17 RIVERSIDE ST STE 101
NASHUA, NH 03062
Hillsborough County (603) 883-0091
JOSHUA H CAOUETTE PT, DPT
Physical Therapist
17 RIVERSIDE ST STE 101
NASHUA, NH 03062
Hillsborough County (603) 883-0091
CATALINA KEEFFE PA-C
Physician Assistant
17 RIVERSIDE ST STE 101
NASHUA, NH 03062
Hillsborough County (603) 883-0091
DR. JOSEPH T HYATT MD
Anesthesiology
17 RIVERSIDE ST STE 101
NASHUA, NH 03062
Hillsborough County (603) 883-0091
COURTNEY AILEEN SHINOST DPT
Physical Therapist
17 RIVERSIDE ST STE 101
NASHUA, NH 03062
Hillsborough County (603) 883-0091

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 Wilkening's NPI number?

The NPI number for Matthew Wilkening is 1295174753. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Matthew Wilkening located?

Matthew Wilkening practices at 17 Riverside St Ste 101, Nashua, NH 03062. The listed phone number is (603) 883-0091.

What is Matthew Wilkening's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matthew Wilkening enrolled in Medicare?

Yes. Matthew Wilkening 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 Wilkening accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Matthew Wilkening 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 Wilkening affiliated with any hospitals?

According to CMS data, Matthew Wilkening is affiliated with Elliot Hospital, Parkland Medical Center and Catholic Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Wilkening was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.