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MATTHEW O'CONNOR MD
NPI 1306236013
Emergency Medicine in Madison, WI

Active since February 02, 2015PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
UW HOSPITALS AND CLINICS, 600 UNIVERSITY AVE, MADISON, WI 53792(651) 795-8799 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2019, Mar 19, 2017 (2 updates tracked since 2017).

About Matthew O'connor Md NPPES

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

MATTHEW O'CONNOR MD (NPI 1306236013) is an individual emergency medicine provider in Madison, Wisconsin, licensed in Wisconsin (66800-20) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of University Of Wisconsin School Of Medicine (2018).

NPPES Registry Identity

NPI1306236013
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW O'CONNORCredential: MD
Location AddressUW HOSPITALS AND CLINICS, 600 UNIVERSITY AVEMadison, WI 53792-0001
Mailing AddressUw Hospitals And Clinics, 600 Highland AveMadison, WI 53792-0001 · (651) 795-8799
Phone(651) 795-8799
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2018
Enumeration DateFebruary 2, 2015
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1306236013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WI · 66800-20✔ Licensed in IN · 01080780A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
UW HOSPITALS AND CLINICS, Madison, WI 53792
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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 O'connor 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 ID9931419140
PECOS Enrollment IDI20180911003492
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
89 services75 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
53 services43 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
32 services31 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

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
$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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

DR. DAVID FRANCIS M.D.
Radiology (Radiation Oncology)
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
DR. KATHERINE CUSACK LONGO M.D.
Radiology (Diagnostic Radiology)
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (309) 264-1315
AYESHA NAEEM MD
Student in an Organized Health Care Education/Training Program
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
KENNETH COGGINS M.D.
Internal Medicine
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE.
MADISON, WI 53792
Dane County (608) 263-5660
LEAH MARIE SCHUPPENER DO
Pathology (Anatomic Pathology & Clinical Pathology)
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE.
MADISON, WI 53792
Dane County (608) 262-7158
BYRON BARKSDALE JR. M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
DR. BRANDON POTTER MD
Anesthesiology
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
MARINA NASRIN SHARIFI M.D., PH.D.
Internal Medicine (Medical Oncology)
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 266-6400

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 O'connor's NPI number?

The NPI number for Matthew O'connor is 1306236013. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Where is Matthew O'connor located?

Matthew O'connor practices at Uw Hospitals And Clinics 600 University Ave, Madison, WI 53792. The listed phone number is (651) 795-8799.

What is Matthew O'connor's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew O'connor enrolled in Medicare?

Yes. Matthew O'connor 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.

Is Matthew O'connor affiliated with any hospitals?

According to CMS data, Matthew O'connor is affiliated with Methodist Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Matthew O'connor was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.