DR. ANDREW T MATHEUS MD
NPI 1467460980
Family Medicine in Ashland, WI
About Dr. Andrew T Matheus Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW T MATHEUS MD (NPI 1467460980) is an individual family medicine provider in Ashland, Wisconsin, licensed in Wisconsin (33091) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Andrew T Matheus 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Matheus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ashland, WI 54806
- Reassigned Medicare billing, Wisconsin enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNSt Lukes Hospital
Acute Care Hospitals · Duluth, MNTamarack Health Hayward Medical Center
Critical Access Hospitals · Hayward, WITamarack Health Ashland Medical Center
Critical Access Hospitals · Ashland, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrew Matheus's NPI number?
The NPI number for Andrew Matheus is 1467460980. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is Andrew Matheus located?
Andrew Matheus practices at 1001 Main St W, Ashland, WI 54806. The listed phone number is (715) 682-5601.
What is Andrew Matheus's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Andrew Matheus enrolled in Medicare?
Yes. Andrew Matheus 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.
Which organization bills Medicare for Andrew Matheus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Matheus reassigns Medicare benefits to Mainstreet Clinic Sc (Ashland, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Matheus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Matheus accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Andrew Matheus 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 Andrew Matheus affiliated with any hospitals?
According to CMS data, Andrew Matheus is affiliated with Essentia Health St Mary's Medical Center, St Lukes Hospital, Tamarack Health Hayward Medical Center and Tamarack Health Ashland Medical Center.
When was this NPI record last updated?
The NPPES record for Andrew Matheus was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Andrew T Matheus, MD · NPI 1467460980
Family Medicine physician in Ashland, Wisconsin. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1467460980 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 33091 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 MAIN ST W, Ashland, WI 54806-1307
- **Phone:** (715) 682-5601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mainstreet Clinic Sc (NPI 1134137557, Ashland, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 33091 (WI); Medicaid 31865900 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1467460980) · Data from the CMS NPPES public registry.