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JOHN C MATTEUCCI JR. M.D.
NPI 1558456749
Urology in Kenosha, WI

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
6127 GREEN BAY ROAD, SUITE 600, KENOSHA, WI 53142(262) 653-9221(262) 653-9229 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 15, 2024, Dec 2, 2021, Dec 28, 2020 (3 updates tracked since 2020).

About John C Matteucci Jr. M.d. NPPES

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

JOHN C MATTEUCCI JR. M.D. (NPI 1558456749) is an individual urology provider in Kenosha, Wisconsin, licensed in Wisconsin (38866) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558456749
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOHN C MATTEUCCI JR.Credential: M.D.
Location Address6127 GREEN BAY ROAD, SUITE 600Kenosha, WI 53142-2973
Mailing Address6127 Green Bay Road, Suite 600Kenosha, WI 53142-2973 · (262) 653-9221 · Fax (262) 653-9229
Phone(262) 653-9221
Fax(262) 653-9229
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1990
Enumeration DateOctober 4, 2006
Last NPPES UpdateApril 15, 20243 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1558456749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in WI · 38866✔ Licensed in IN · 01083818A
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6127 GREEN BAY ROAD, Kenosha, WI 53142
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Secondary Practice Locations 2

Location 1700 S Park StMadison, WI 53715-1830 · Phone (608) 251-6100
Location 2611 E Douglas Rd Ste 309Mishawaka, IN 46545-1467 · Phone (574) 335-6830 · Fax (574) 335-0855

Other Identifiers 2

Medicaid300037445IN
Medicaid32467300WI

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John C Matteucci Jr. 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 ID2961463070
PECOS Enrollment IDI20041025001125
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

6

Medicare enrollment records show John Matteucci reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.
29 mi
Family Medicine
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544
Ascension Medical Group-Southeast Wisconsin Inc
33 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Dean Health Systems, Inc
84 mi
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
NPI 1053358846 (608) 252-8000
Saint Joseph Regional Medical Center-South Bend Campus, Inc.
104 mi
Family Medicine
234 CHAPIN ST STE I (I)
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • 216 clinicians in this Medicare group
NPI 1396154324 (574) 335-8250
Saint Joseph Regional Medical Center, Inc.
111 mi
Family Medicine
60101 BODNAR BLVD STE 100B
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 205 clinicians in this Medicare group
NPI 1467406074 (574) 335-8500
Ascension Medical Group-Fox Valley Wisconsin, Inc
115 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200

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.

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.
624 services352 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
617 services350 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
490 services307 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
199 services139 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.
177 services148 patients
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.
146 services82 patients

Hospital Affiliations CMS Care Compare 4

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
4 suppliers39 claims5,520 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers50 claims7,346 services$1.66 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 2

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

GREEN BAY ROAD MEDICAL SERVICES INC
Clinic/Center (Ambulatory Surgical)
6127 GREEN BAY ROAD, SUITE 600
KENOSHA, WI 53142
Kenosha County (262) 653-9221
JOHN C MATTEUCCI JR MD SC
Urology
6127 GREEN BAY ROAD, SUITE 600
KENOSHA, WI 53142
Kenosha County (262) 653-9221

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 John Matteucci's NPI number?

The NPI number for John Matteucci is 1558456749. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is John Matteucci located?

John Matteucci practices at 6127 Green Bay Road Suite 600, Kenosha, WI 53142. The listed phone number is (262) 653-9221.

What is John Matteucci's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Matteucci enrolled in Medicare?

Yes. John Matteucci 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 John Matteucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Matteucci reassigns Medicare benefits to 6 organizations: Aurora Medical Group, Inc. (Milwaukee, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Dean Health Systems, Inc (Madison, WI), Saint Joseph Regional Medical Center-South Bend Campus, Inc. (South Bend, IN), Saint Joseph Regional Medical Center, Inc. (Mishawaka, IN) and 1 more organization, listed in the Medicare section above. 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 John Matteucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Matteucci accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Quartz and 1 other insurer list John Matteucci 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 John Matteucci affiliated with any hospitals?

According to CMS data, John Matteucci is affiliated with Froedtert South Inc., Aurora Memorial Hospital Burlington, Aurora Medical Center Kenosha and Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for John Matteucci was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.