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DR. MATTHEW KALISZ M.D.
NPI 1477993285
Emergency Medicine in Madison, WI

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE, MADISON, WI 53792(608) 890-8682 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Matthew Kalisz M.d. NPPES

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

DR. MATTHEW KALISZ M.D. (NPI 1477993285) is an individual emergency medicine provider in Madison, Wisconsin, licensed in Wisconsin (66762-20) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of Oregon Health Sciences University School Of Medicine (2015).

NPPES Registry Identity

NPI1477993285
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MATTHEW KALISZCredential: M.D.
Location AddressUW HOSPITALS AND CLINICS, 600 HIGHLAND AVEMadison, WI 53792-0001
Mailing AddressUw Hospitals And Clinics, 600 Highland AveMadison, WI 53792-0001 · (608) 890-8682
Phone(608) 890-8682
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2015
Enumeration DateJune 26, 2013
Last NPPES UpdateFebruary 17, 2017
✔ NPI 1477993285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 66762-20
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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. Matthew Kalisz M.d. 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 ID4688987654
PECOS Enrollment IDI20180720002204
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Matthew Kalisz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Washington
1,603 mi
Family Medicine
19200 N KELSEY ST
Monroe, WA 98272
  • Reassigned Medicare billing, Washington enrollment
  • 705 clinicians in this Medicare group
NPI 1225289333 (360) 794-7994
Northwest Emergency Physicians LLC
1,610 mi
Emergency Medicine
330 S STILLAGUAMISH AVE
Arlington, WA 98223
  • Reassigned Medicare billing, Washington enrollment
  • 519 clinicians in this Medicare group
NPI 1235172370 (925) 251-6901
North Sound Emergency Medicine PC
1,614 mi
Emergency Medicine
1700 13TH ST
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 95 clinicians in this Medicare group
NPI 1114937919 (425) 261-2000
Sound Physicians Emergency Medicine Of Washington PLLC
1,617 mi
Emergency Medicine
2000 HOSPITAL DR
Sedro Woolley, WA 98284
  • Reassigned Medicare billing, Washington enrollment
  • 139 clinicians in this Medicare group
NPI 1629532064 (360) 856-6021

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 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.

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.
164 services159 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.
79 services75 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
48 services45 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Peacehealth United General Medical Center

Critical Access Hospitals · Sedro Woolley, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501329
Location2000 Hospital DriveSedro Woolley, WA 98284 · Skagit County
Emergency services

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.

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 Kalisz's NPI number?

The NPI number for Matthew Kalisz is 1477993285. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Matthew Kalisz located?

Matthew Kalisz practices at Uw Hospitals And Clinics 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 890-8682.

What is Matthew Kalisz's specialty?

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

Is Matthew Kalisz enrolled in Medicare?

Yes. Matthew Kalisz 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 organizations bill Medicare for Matthew Kalisz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Kalisz reassigns Medicare benefits to 4 organizations: Providence Health & Services - Washington (Monroe, WA), Northwest Emergency Physicians LLC (Arlington, WA), North Sound Emergency Medicine PC (Everett, WA) and Sound Physicians Emergency Medicine Of Washington PLLC (Sedro Woolley, WA). Each 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 Matthew Kalisz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Kalisz accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Matthew Kalisz 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 Kalisz affiliated with any hospitals?

According to CMS data, Matthew Kalisz is affiliated with Providence Regional Medical Center Everett and Peacehealth United General Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Kalisz was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.