1. Home
  2. Directory
  3. Iowa
  4. Davenport
  5. Physician Assistant
  6. NPI Profile

MATTHEW THEODORE WIESKAMP
NPI 1679189146
Physician Assistant in Davenport, IA

Active since September 21, 2020PECOS EnrolledAccepts Medicare Assignment
518 W LOCUST ST, DAVENPORT, IA 52803(563) 333-6000 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Theodore Wieskamp NPPES

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

MATTHEW THEODORE WIESKAMP (NPI 1679189146) is an individual physician assistant in Davenport, Iowa and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679189146
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW THEODORE WIESKAMP
Location Address518 W LOCUST STDavenport, IA 52803-2829
Mailing Address1678 Taylor AveMuscatine, IA 52761-9789 · (563) 506-8373
Phone(563) 333-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 21, 2020
✔ NPI 1679189146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
518 W LOCUST ST, Davenport, IA 52803
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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 Theodore Wieskamp 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 ID5698155307
PECOS Enrollment IDI20220712000099
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 6

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.
124 services104 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.
87 services76 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 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.
15 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52803 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 10

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

MR. MICHAEL LEONARD PUTHOFF PT
Physical Therapist
518 W LOCUST ST, PHYSICAL THERAPY DEPARTMENT
DAVENPORT, IA 52803
Scott County (563) 333-6009
DEAN J BEAUCHAMP ATC
Specialist/Technologist (Athletic Trainer)
518 W LOCUST ST
DAVENPORT, IA 52803
Scott County (563) 333-6235
DR. ELISA GAY HUFF PH.D.
Speech-Language Pathologist
518 W LOCUST ST, ST. AMBROSE UNIVERSITY
DAVENPORT, IA 52803
Scott County (563) 333-6074
CHRISTOPHER ROBERT HARING MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
518 W LOCUST ST
DAVENPORT, IA 52803
Scott County (319) 310-0825
MS. HARUYO IZUMI A.T.C.
Specialist/Technologist (Athletic Trainer)
518 W LOCUST ST
DAVENPORT, IA 52803
Scott County (563) 333-6061
MR. JOHNNIE EUGENE JAMES MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
518 W LOCUST ST
DAVENPORT, IA 52803
Scott County (563) 333-6062
MR. BENJAMIN TREWYN
Physician Assistant
518 W LOCUST ST
DAVENPORT, IA 52803
Scott County (563) 320-3169
KAROLYN MILLER PT, DPT
Physical Therapist
518 W LOCUST ST
DAVENPORT, IA 52803
Scott County (563) 333-6432

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 Wieskamp's NPI number?

The NPI number for Matthew Wieskamp is 1679189146. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Matthew Wieskamp located?

Matthew Wieskamp practices at 518 W Locust St, Davenport, IA 52803. The listed phone number is (563) 333-6000.

What is Matthew Wieskamp's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Wieskamp enrolled in Medicare?

Yes. Matthew Wieskamp 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 Wieskamp accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Matthew Wieskamp 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.

When was this NPI record last updated?

The NPPES record for Matthew Wieskamp was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.