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MICHAEL MATTHEWS
NPI 1750840864
Internal Medicine in Madison, WI

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
451 JUNCTION RD, MADISON, WI 53717(608) 265-1600(608) 265-7642 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2024, Aug 6, 2024, Dec 13, 2021 and 1 more (4 updates tracked since 2019).

About Michael Matthews NPPES

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

MICHAEL MATTHEWS (NPI 1750840864) is an individual internal medicine provider in Madison, Wisconsin, licensed in Wisconsin (81580) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1750840864
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL MATTHEWS
Location Address451 JUNCTION RDMadison, WI 53717-2656
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 265-1600
Fax(608) 265-7642
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2019
Enumeration DateMarch 18, 2019
Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1750840864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 81580
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
451 JUNCTION RD, Madison, WI 53717
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Other Identifiers 2

Medicaid1750840864FL
Medicaid1750840864OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Michael Matthews 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 ID9436586096
PECOS Enrollment IDI20240814003914
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 2

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.
24 services22 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Sauk Prairie Hospital

Acute Care Hospitals · Prairie Du Sac, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520095
Location260 26th StreetPrairie Du Sac, WI 53578 · Sauk County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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
$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.

MRS. TERESA LYNN WOLFE PA
Physician Assistant (Medical)
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 265-7670
DR. MARIAH A. QUINN M.D.
Internal Medicine
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 265-7550
DR. YEW-XIN TEH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 263-5010
ABIGAIL M BALES MD
Internal Medicine
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 265-1600
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Pharmacy
451 JUNCTION RD, SUITE 9901, ROOM 1191
MADISON, WI 53717
Dane County (608) 265-7070
ANNA HABERMEYER CNM
Nurse Practitioner
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 265-7601
MRS. SHERRY XIONG NP
Nurse Practitioner
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 263-7577
DANIELA C CONSTANTINESCU MD
Internal Medicine
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 265-7550

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 Michael Matthews's NPI number?

The NPI number for Michael Matthews is 1750840864. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Michael Matthews located?

Michael Matthews practices at 451 Junction Rd, Madison, WI 53717. The listed phone number is (608) 265-1600.

What is Michael Matthews's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Matthews enrolled in Medicare?

Yes. Michael Matthews 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 Michael Matthews accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Michael Matthews 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 Michael Matthews affiliated with any hospitals?

According to CMS data, Michael Matthews is affiliated with Unitypoint Health - Meriter, Sauk Prairie Hospital and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Michael Matthews was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.