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RAUL MATEO M.D.
NPI 1295814028
Family Medicine in Saint Francis, WI

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
2000 E LAYTON AVE, SAINT FRANCIS, WI 53235(414) 744-6589(414) 747-8848 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raul Mateo M.d. NPPES

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

RAUL MATEO M.D. (NPI 1295814028) is an individual family medicine provider in Saint Francis, Wisconsin, licensed in Wisconsin (24212) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1295814028
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAUL MATEOCredential: M.D.
Location Address2000 E LAYTON AVESaint Francis, WI 53235-6053
Mailing Address100-15th Ave., Ste. 180South Milwaukee, WI 53172-1160 · (414) 768-5430 · Fax (414) 762-4225
Phone(414) 744-6589
Fax(414) 747-8848
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateNovember 3, 2006
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
✔ NPI 1295814028 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 · 24212
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.
2000 E LAYTON AVE, Saint Francis, WI 53235
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz.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

Raul Mateo 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 ID8921085788
PECOS Enrollment IDI20040630000786
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 9

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.
315 services171 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
106 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
86 services86 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.
36 services32 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
25 services20 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53235 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 6

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
25 suppliers94 claims236 services$5.68 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers13 claims13 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers23 claims30 services$1.10 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.99 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$21.71 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
4 suppliers29 claims30 services$194.12 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 20

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

EDWARD ST VILLE M.D
Radiology (Diagnostic Radiology)
2000 E LAYTON AVE
ST FRANCIS, WI 53235
Milwaukee County (414) 744-6589
KATELYN VANA HAASCH PA-C
Physician Assistant
2000 E LAYTON AVE
ST FRANCIS, WI 53235
Milwaukee County (414) 744-7880
ALEXANDRIA JOHNSON DPT
Physical Therapist
2000 E LAYTON AVE
ST FRANCIS, WI 53235
Milwaukee County (414) 747-8400
DR. MASSIHULLAH HAMIDI M.D., PH.D.
Radiology (Diagnostic Radiology)
2000 E LAYTON AVE
ST FRANCIS, WI 53235
Milwaukee County (414) 744-6589
RICHARD M. HAYES M.D.
Internal Medicine
2000 E LAYTON AVE
SAINT FRANCIS, WI 53235
Milwaukee County (414) 744-6589
HERSLOF'S, INC
Technician/Technologist (Optician)
2000 E LAYTON AVE, SUITE 110
MILWAUKEE, WI 53235
Milwaukee County (414) 481-8107
CHRISTOPHER DIMINO
Specialist/Technologist (Athletic Trainer)
2000 E LAYTON AVE
SAINT FRANCIS, WI 53235
Milwaukee County (608) 575-2799
KARIN LEE WASIULLAH FNP
Nurse Practitioner (Family)
2000 E LAYTON AVE
ST FRANCIS, WI 53235
Milwaukee County (414) 744-6589

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 Raul Mateo's NPI number?

The NPI number for Raul Mateo is 1295814028. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Raul Mateo located?

Raul Mateo practices at 2000 E Layton Ave, Saint Francis, WI 53235. The listed phone number is (414) 744-6589.

What is Raul Mateo's specialty?

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

Is Raul Mateo enrolled in Medicare?

Yes. Raul Mateo 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 Raul Mateo accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and Quartz list Raul Mateo 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 Raul Mateo affiliated with any hospitals?

According to CMS data, Raul Mateo is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Raul Mateo was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.