1. Home
  2. Directory
  3. Wisconsin
  4. Tomah
  5. Dentist
  6. NPI Profile

DR. MARK JAMES MATTHEWS DDS
NPI 1780799312
Dentist - General Practice in Tomah, WI

Active since August 21, 2006Opted out of Medicare · through Oct 1, 2027
214 LARKIN ST, TOMAH, WI 54660(608) 372-3298(608) 372-3128 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark James Matthews Dds NPPES

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

DR. MARK JAMES MATTHEWS DDS (NPI 1780799312) is an individual general practice provider in Tomah, Wisconsin, licensed in Wisconsin (2482) and active in the NPI registry since August 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780799312
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK JAMES MATTHEWSCredential: DDS
Location Address214 LARKIN STTomah, WI 54660-0606
Mailing AddressPo Box 606, 214 Larkin StTomah, WI 54660-0606 · (608) 372-3298 · Fax (608) 372-3128
Phone(608) 372-3298
Fax(608) 372-3128
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJune 25, 2013
✔ NPI 1780799312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 2482
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
214 LARKIN ST, Tomah, WI 54660
Open in Google Maps ↗

Other Identifiers 1

Other811742United Concordia Ins Co

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mark James Matthews Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2013 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2013
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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.

Other Providers at the Same Location NPPES 5

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

BRIAN SCOTT NICOL DDS
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Monroe County (608) 372-3298
DR. ALEXANDRA PETERSON MATTHEWS DDS
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Monroe County (608) 372-3298
DR. JAMES L CHITWOOD DDS
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Monroe County (608) 372-3298
TOMAH FAMILY DENTISTRY LLC
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Monroe County (608) 372-3298
DR. LUCAS JERRY SCHWARTZ D.D.S.
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Monroe County (608) 372-3298

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 Mark Matthews's NPI number?

The NPI number for Mark Matthews is 1780799312. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Mark Matthews located?

Mark Matthews practices at 214 Larkin St, Tomah, WI 54660. The listed phone number is (608) 372-3298.

What is Mark Matthews's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Matthews enrolled in Medicare?

No. Mark Matthews has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mark Matthews was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.