MATTHEW D PETERSON PA-C
NPI 1750803474
Physician Assistant in Kenosha, WI

Active since July 14, 2017PECOS EnrolledAccepts Medicare Assignment
10400 75TH ST, KENOSHA, WI 53142(262) 948-5600 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2022, Nov 16, 2022, Dec 22, 2021 and 2 more (5 updates tracked since 2017).

About Matthew D Peterson Pa-c NPPES

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

MATTHEW D PETERSON PA-C (NPI 1750803474) is an individual physician assistant in Kenosha, Wisconsin, licensed in Wisconsin (4071-23) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and maintains a secondary practice location in Pleasant Prairie.

NPPES Registry Identity

NPI1750803474
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW D PETERSONCredential: PA-C
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (262) 948-5600 · Fax (414) 290-6755
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 14, 2017
Last NPPES UpdateNovember 29, 20225 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
NPI 1750803474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 4071-23
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.
10400 75TH ST, Kenosha, WI 53142

Secondary Practice Location 1

Location 19555 76th StPleasant Prairie, WI 53158-1984 · Phone (414) 290-6720 · Fax (414) 290-6755

Accepted 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 D Peterson Pa-c 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 ID1254604655
PECOS Enrollment IDI20170907000181
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

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.
150 services117 patients

Hospital Affiliations CMS Care Compare 2

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

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

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
$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
$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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%838 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142

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 Peterson's NPI number?

The NPI number for Matthew Peterson is 1750803474. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Matthew Peterson located?

Matthew Peterson practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-5600.

What is Matthew Peterson's specialty?

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

Is Matthew Peterson enrolled in Medicare?

Yes. Matthew Peterson 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 Peterson accept?

Health plans from CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Matthew Peterson 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 Peterson affiliated with any hospitals?

According to CMS data, Matthew Peterson is affiliated with Aurora Memorial Hospital Burlington and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Matthew Peterson was last updated on November 29, 2022. 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.