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MATTHEW J OUGH MD
NPI 1376705533
Surgery in Green Bay, WI

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
720 S VANBUREN ST, SUITE 201, GREEN BAY, WI 54301(920) 433-7488(920) 433-7439 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew J Ough Md NPPES

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

MATTHEW J OUGH MD (NPI 1376705533) is an individual surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (55920-20) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2006).

NPPES Registry Identity

NPI1376705533
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMATTHEW J OUGHCredential: MD
Location Address720 S VANBUREN ST, SUITE 201Green Bay, WI 54301-3534
Mailing Address720 S Vanburen St, Suite 201Green Bay, WI 54301-3534 · (920) 433-7488
Phone(920) 433-7488
Fax(920) 433-7439
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2006
Enumeration DateJune 30, 2008
Last NPPES UpdateMarch 5, 2014
✔ NPI 1376705533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 55920-20
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
720 S VANBUREN ST, Green Bay, WI 54301
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Other Identifiers 2

Medicare OSCAR/certification030280044WI
Medicare OSCAR/certification025000215WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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 J Ough 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 ID9830368117
PECOS Enrollment IDI20110802000534
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 5

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 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.
27 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 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.
18 services17 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.
17 services17 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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 20

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

VICTOR ADALBERT GERALDEZ DE VILLA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
720 S VANBUREN ST, SUITE 104
GREEN BAY, WI 54301
Brown County (920) 433-6050
SHIRLEY M JEAN-BAPTISTE APNP
Nurse Practitioner (Family)
720 S VANBUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-7488
BAILEY E HAVLOVITZ PA-C
Physician Assistant
720 S VANBUREN ST
GREEN BAY, WI 54301
Brown County (920) 468-3444
CHERYL L BAILEY M.D.
Obstetrics & Gynecology
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
BELLIN MEMORIAL HOSPITAL INC
Surgery
720 S VANBUREN ST, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 433-7488
RENEE R SMITH CNM,APNP
Advanced Practice Midwife
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
MRS. SANDRA RENEE PELNAR C.N.M., W.H.N.P.
Advanced Practice Midwife
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
CARMEN D. ANDERSON APNP
Nurse Practitioner (Family)
720 S VANBUREN ST, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 433-7488

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 Ough's NPI number?

The NPI number for Matthew Ough is 1376705533. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Matthew Ough located?

Matthew Ough practices at 720 S Vanburen St Suite 201, Green Bay, WI 54301. The listed phone number is (920) 433-7488.

What is Matthew Ough's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Ough enrolled in Medicare?

Yes. Matthew Ough 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 Ough accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Matthew Ough 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 Ough affiliated with any hospitals?

According to CMS data, Matthew Ough is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Ough was last updated on March 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.