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JACOB TODD MATULLE DO
NPI 1295312072
Radiology - Diagnostic Radiology in Madison, WI

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-9729 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Todd Matulle Do NPPES

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

JACOB TODD MATULLE DO (NPI 1295312072) is an individual diagnostic radiology provider in Madison, Wisconsin, licensed in Wisconsin (82112) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1295312072
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJACOB TODD MATULLECredential: DO
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-9729
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1295312072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 82112
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
600 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

Secondary Practice Location 1

Location 1530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (309) 444-0129

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Group Health Cooperative-SCW.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

Jacob Todd Matulle Do 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 ID4082184965
PECOS Enrollment IDI20260601003493
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jacob Matulle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Wisconsin System Non Payroll
0.1 mi
Multi-Specialty
750 HIGHLAND AVE FL 4, HEALTH SCIENCES LEARNING CENTER
Madison, WI 53705
  • Reassigned Medicare billing, Wisconsin enrollment
  • 206 clinicians in this Medicare group
NPI 1346266319 (608) 263-4938
Group Health Cooperative Of South Central Wisconsin
4.5 mi
Health Maintenance Organization
1265 JOHN Q HAMMONS DR
Madison, WI 53717
  • Reassigned Medicare billing, Wisconsin enrollment
  • 422 clinicians in this Medicare group
NPI 1245260165 (608) 251-4156
University Of Wisconsin Medical Foundation, Inc
5.0 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485
Radiology Associates Of The Fox Valley, Sc
91 mi
Diagnostic Radiology
333 N COMMERCIAL ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 84 clinicians in this Medicare group
NPI 1477539443 (920) 722-1583

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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.

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.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

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 Jacob Matulle's NPI number?

The NPI number for Jacob Matulle is 1295312072. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Jacob Matulle located?

Jacob Matulle practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-9729.

What is Jacob Matulle's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jacob Matulle enrolled in Medicare?

Yes. Jacob Matulle 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 Jacob Matulle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Matulle reassigns Medicare benefits to 4 organizations: University Of Wisconsin System Non Payroll (Madison, WI), Group Health Cooperative Of South Central Wisconsin (Madison, WI), University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and Radiology Associates Of The Fox Valley, Sc (Neenah, WI). 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 Jacob Matulle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Matulle accept?

Health plans from CareSource (Common Ground Healthcare) and Group Health Cooperative-SCW list Jacob Matulle 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 Jacob Matulle affiliated with any hospitals?

According to CMS data, Jacob Matulle is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Jacob Matulle was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.