MR. MATT R AGNEW DMD
NPI 1295916419
Dentist - Dental Public Health in Sun Prairie, WI

Active since November 15, 2007PECOS Enrolled
1270 W MAIN ST, SUN PRAIRIE, WI 53590(608) 443-5482(608) 837-9134 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Matt R Agnew Dmd NPPES

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

MR. MATT R AGNEW DMD (NPI 1295916419) is an individual dental public health provider in Sun Prairie, Wisconsin, licensed in Wisconsin (6179-15) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295916419
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameMR. MATT R AGNEWCredential: DMD
Location Address1270 W MAIN STSun Prairie, WI 53590-1930
Mailing Address2901 W. Beltline Hwy., Suite 120Madison, WI 53713-4226 · (608) 443-5500 · Fax (608) 441-1981
Fax(608) 837-9134
Sole ProprietorNo
Enumeration DateNovember 15, 2007
Last NPPES UpdateMay 4, 2021
NPPES CertifiedMay 4, 2021
NPI 1295916419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License Licensed in WI · 6179-15
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
1270 W MAIN ST, Sun Prairie, WI 53590

Other Identifiers 1

Medicaid33815700WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Matt R Agnew Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53590 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 8

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

Dentist
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dentist (General Practice)
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dentist (General Practice)
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dental Hygienist
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dentist
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dentist
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dentist
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Dental Hygienist
1270 W MAIN ST
SUN PRAIRIE, WI 53590

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 Matt Agnew's NPI number?

The NPI number for Matt Agnew is 1295916419. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Where is Matt Agnew located?

Matt Agnew practices at 1270 W Main St, Sun Prairie, WI 53590. The listed phone number is (608) 443-5482.

What is Matt Agnew's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Matt Agnew enrolled in Medicare?

Yes. Matt Agnew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matt Agnew was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.