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DR. MATTHEW PATRICK LAZIO M.D.
NPI 1790978260
Emergency Medicine in Madison, WI

Active since August 19, 2007PECOS Enrolled
95.03/100
CMS Quality Rating
700 S PARK ST, ROOM A404, MADISON, WI 53715(608) 258-6504(608) 229-8588 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Matthew Patrick Lazio M.d. NPPES

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

DR. MATTHEW PATRICK LAZIO M.D. (NPI 1790978260) is an individual emergency medicine provider in Madison, Wisconsin, licensed in Iowa (MD-47539) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790978260
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MATTHEW PATRICK LAZIOCredential: M.D.
Location Address700 S PARK ST, ROOM A404Madison, WI 53715-1830
Mailing Address700 S Park St, Room A404Madison, WI 53715-1830 · (608) 258-6504 · Fax (608) 229-8588
Phone(608) 258-6504
Fax(608) 229-8588
Sole ProprietorYes
Enumeration DateAugust 19, 2007
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1790978260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IA · MD-47539✔ Licensed in WI · 53924-020✔ Licensed in IL · 036.122864✔ Licensed in IL · 125050679
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
700 S PARK ST, Madison, WI 53715
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Oscar Health, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Patrick Lazio M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

11

Medicare enrollment records show Matthew Lazio reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Madison Emergency Physicians, Sc
Same address
Emergency Medicine
700 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 103 clinicians in this Medicare group
NPI 1588646095 (608) 258-6100
Prairie Ridge Health, Inc.
26 mi
Critical Access
1515 PARK AVE
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • 132 clinicians in this Medicare group
NPI 1841376183 (920) 623-2200
Upland Hills Health, Inc.
38 mi
Critical Access
800 COMPASSION WAY
Dodgeville, WI 53533
  • Reassigned Medicare billing, Wisconsin enrollment
  • 130 clinicians in this Medicare group
NPI 1487745501 (608) 930-8000
Lafayette County
41 mi
Mental Health (Including Community Mental Health Center)
15701 COUNTY ROAD K
Darlington, WI 53530
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1114987054 (Wisconsin)
  • 53 clinicians in this Medicare group
NPI 1740273358 (608) 776-4800
Emergency Medicine Specialists, S.C.
62 mi
Emergency Medicine
10625 W NORTH AVE, SUITE 102
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Emergency Medicine Specialists Sc
  • 244 clinicians in this Medicare group
NPI 1568413524 (414) 877-5350
Genesis Health System
120 mi
Surgery
1227 E RUSHOLME ST
Davenport, IA 52803
  • Reassigned Medicare billing, Iowa enrollment
  • 358 clinicians in this Medicare group
NPI 1528616901 (563) 421-3408
Mercy Hospital Of Franciscan Sisters Inc
130 mi
Emergency Medicine
201 8TH AVE SE
Oelwein, IA 50662
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1528009511 (Iowa)
  • 10 clinicians in this Medicare group
NPI 1780622613 (319) 272-7600
Iowa Emergency Physicians LLP
155 mi
Emergency Medicine
3421 WEST NINTH STREET
Waterloo, IA 50702
  • Reassigned Medicare billing, Iowa enrollment
  • 70 clinicians in this Medicare group
NPI 1386879427 (319) 272-8000
Stevens Community Medical Center Inc.
351 mi
Clinic/Center
501 POLER ST
Starbuck, MN 56381
  • Reassigned Medicare billing, Minnesota enrollment
  • 143 clinicians in this Medicare group
NPI 1417105552 (320) 239-3939
Sanford Health Network North
399 mi
Rural Health
401 12TH ST N
Wheaton, MN 56296
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1043218753 (Minnesota)
  • 219 clinicians in this Medicare group
NPI 1245524669 (320) 563-8971

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
257 services248 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
210 services197 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
67 services65 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$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.

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.

95.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Improvement Activities40
Cost82.55

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.

CHRISTOPHER DO
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JEREMI THOMAS OLSON PA-C
Physician Assistant (Surgical)
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
TIMOTHY J MORTON PA-C
Physician Assistant
700 S PARK ST, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 251-6100
STEPHEN H VANDER SLUIS
Anesthesiology
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
BENJAMIN KLEIBER M.D.
Internal Medicine (Cardiovascular Disease)
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
ERIN M MULLAN-TOWNS PA-C
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 260-2900
CONNIE SUE MCCULLICK APNP
Nurse Practitioner
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JUSTIN ALLEN LEHRKE CRNA
Nurse Anesthetist, Certified Registered
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100

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 Lazio's NPI number?

The NPI number for Matthew Lazio is 1790978260. It was assigned to this individual provider in the NPPES registry on August 19, 2007.

Where is Matthew Lazio located?

Matthew Lazio practices at 700 S Park St Room A404, Madison, WI 53715. The listed phone number is (608) 258-6504.

What is Matthew Lazio's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Lazio enrolled in Medicare?

Yes. Matthew Lazio is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Lazio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Lazio reassigns Medicare benefits to 11 organizations: Madison Emergency Physicians, Sc (Madison, WI), Prairie Ridge Health, Inc. (Columbus, WI), Upland Hills Health, Inc. (Dodgeville, WI), Lafayette County (Darlington, WI), Emergency Medicine Specialists, S.C. (Milwaukee, WI) and 6 more organizations, listed in the Medicare section above. 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 Lazio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Lazio accept?

Health plans from CareSource (Common Ground Healthcare), Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Matthew Lazio 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 Lazio was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.