MATTHEW BASIAGA D.O.
NPI 1689800260
Pediatrics in Rochester, MN

Active since June 09, 2009PECOS EnrolledAccepts Medicare Assignment
200 1ST AVE NE, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2021, Aug 12, 2020, May 14, 2019 (3 updates tracked since 2019).

About Matthew Basiaga D.o. NPPES

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

MATTHEW BASIAGA D.O. (NPI 1689800260) is an individual pediatrics provider in Rochester, Minnesota, licensed in Minnesota (65452) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1689800260
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW BASIAGACredential: D.O.
Location Address200 1ST AVE NERochester, MN 55905
Mailing Address200 1st Ave NeRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 9, 2009
Last NPPES UpdateJuly 15, 20213 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1689800260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MN · 65452✔ Licensed in PA · OS015978✔ Licensed in WI · 74419
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric RheumatologyTaxonomy 2080P0216X · License OP.60632322 (WA)
200 1ST AVE NE, Rochester, MN 55905

Secondary Practice Locations 2

Location 14800 Sand Point Way NESeattle, WA 98105 · Phone (206) 987-2193
Location 2191 Theater RdOnalaska, WI 54650-8679 · Phone (608) 392-5000

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

Matthew Basiaga D.o. 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 ID5395900898
PECOS Enrollment IDI20190521002755
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

3

Medicare enrollment records show Matthew Basiaga reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
Multi-Specialty
800 WEST AVE S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,003 clinicians in this Medicare group
Rehabilitation
215 RADIO DR STE 100
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 35 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Basiaga's NPI number?

The NPI number for Matthew Basiaga is 1689800260. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Matthew Basiaga located?

Matthew Basiaga practices at 200 1st Ave NE, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Matthew Basiaga's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Basiaga enrolled in Medicare?

Yes. Matthew Basiaga 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 Basiaga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Basiaga reassigns Medicare benefits to 3 organizations: Mayo Clinic (Rochester, MN), Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI) and Shriners Hospitals For Children (Woodbury, MN). 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 Basiaga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Basiaga accept?

Health plans from AmeriHealth Caritas Next and Providence Health Plan list Matthew Basiaga 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 Basiaga was last updated on July 15, 2021. 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.