DR. CHARLIE JOE MATTESON MD
NPI 1326198300
Family Medicine in Sioux Falls, SD

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108(605) 328-5800 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Jun 11, 2021 (2 updates tracked since 2021).

About Dr. Charlie Joe Matteson Md NPPES

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

DR. CHARLIE JOE MATTESON MD (NPI 1326198300) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in Kansas (0431806) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2003).

NPPES Registry Identity

NPI1326198300
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLIE JOE MATTESONCredential: MD
Location Address6110 S MINNESOTA AVESioux Falls, SD 57108-2549
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2003
Enumeration DateJanuary 11, 2007
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
NPI 1326198300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KS · 0431806
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.
6110 S MINNESOTA AVE, Sioux Falls, SD 57108

Accepted 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

Dr. Charlie Joe Matteson 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 ID9234328386
PECOS Enrollment IDI20210621000089
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.

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.
258 services141 patients
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.
81 services58 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.
53 services53 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Referred Medical Equipment & Supplies CMS DME claims 3

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
5 suppliers15 claims23 services$6.01 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$10.23 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$153.61 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.

Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Nurse Practitioner (Psychiatric/Mental Health)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108

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 Charlie Matteson's NPI number?

The NPI number for Charlie Matteson is 1326198300. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Charlie Matteson located?

Charlie Matteson practices at 6110 S Minnesota Ave, Sioux Falls, SD 57108. The listed phone number is (605) 328-5800.

What is Charlie Matteson's specialty?

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

Is Charlie Matteson enrolled in Medicare?

Yes. Charlie Matteson 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 Charlie Matteson accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Charlie Matteson 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 Charlie Matteson affiliated with any hospitals?

According to CMS data, Charlie Matteson is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Charlie Matteson was last updated on April 18, 2022. 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.