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MATTHEW MCSHANE MD
NPI 1316366701
Hospitalist in Appleton, WI

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
1818 N MEADE ST, APPLETON, WI 54911(920) 735-7620(920) 735-7816 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2020, Mar 5, 2020, Jul 9, 2019 and 1 more (4 updates tracked since 2019).

About Matthew Mcshane Md NPPES

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

MATTHEW MCSHANE MD (NPI 1316366701) is an individual hospitalist provider in Appleton, Wisconsin, licensed in Wisconsin (929) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316366701
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMATTHEW MCSHANECredential: MD
Location Address1818 N MEADE STAppleton, WI 54911-3454
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 735-7620 · Fax (920) 735-7816
Phone(920) 735-7620
Fax(920) 735-7816
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateNovember 24, 20204 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
✔ NPI 1316366701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in WI · 929✔ Licensed in IL · 036141918
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036141918 (IL)
1818 N MEADE ST, Appleton, WI 54911
Open in Google Maps ↗

Secondary Practice Locations 2

Location 125 N Winfield RdWinfield, IL 60190-1222 · Phone (630) 933-4700
Location 2800 W Central RdArlington Heights, IL 60005-2349 · Phone (877) 635-9229 · Fax (847) 618-3259

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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 Mcshane 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 ID749585552
PECOS Enrollment IDI20201015001045
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
219 services103 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
93 services91 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
68 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center - New London

Critical Access Hospitals · New London, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521326
Location1405 Mill StNew London, WI 54961 · Waupaca County
Emergency services

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

MRS. THERESA ANN HAGMAN PTA
Physical Therapy Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
HANNA ROSE SIPPEL PA
Physician Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
ANN M HEFTER AGACNP-BC, MSN, BSN
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
DESSIA J LAXTON APNP
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
MISS AMBER LYNN NEVALA CST
Specialist/Technologist, Other (Surgical Assistant)
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (906) 280-5495
DAVID MICHAEL DENELL MPT LAT/C
Physical Therapist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
PHILIP ANTHONY VOGT MD
Surgery
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
Outagamie County (920) 731-8289
SYED TAIMUR ALI M.D.
Hospitalist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101

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 Mcshane's NPI number?

The NPI number for Matthew Mcshane is 1316366701. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Matthew Mcshane located?

Matthew Mcshane practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 735-7620.

What is Matthew Mcshane's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Matthew Mcshane enrolled in Medicare?

Yes. Matthew Mcshane 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 Mcshane accept?

Health plans from CareSource (Common Ground Healthcare) list Matthew Mcshane 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 Mcshane affiliated with any hospitals?

According to CMS data, Matthew Mcshane is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center - New London and Thedacare Medical Center-Waupaca.

When was this NPI record last updated?

The NPPES record for Matthew Mcshane was last updated on November 24, 2020. 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.