MATEUSZ GWIZDALA MD
NPI 1821580135
Family Medicine in Kewaskum, WI

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
1701 FOND DU LAC AVE, KEWASKUM, WI 53040(262) 626-4616 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2026, Aug 25, 2021 (2 updates tracked since 2021).

About Mateusz Gwizdala Md NPPES

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

MATEUSZ GWIZDALA MD (NPI 1821580135) is an individual family medicine provider in Kewaskum, Wisconsin, licensed in Wisconsin (75766-20) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821580135
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATEUSZ GWIZDALACredential: MD
Location Address1701 FOND DU LAC AVEKewaskum, WI 53040-9129
Mailing Address1701 Fond Du Lac AveKewaskum, WI 53040-9129 · (262) 626-4616
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 1, 2018
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1821580135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 75766-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1701 FOND DU LAC AVE, Kewaskum, WI 53040

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

Mateusz Gwizdala Md 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 ID345597373
PECOS Enrollment IDI20211202002760
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 5

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.
214 services111 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.
128 services77 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
89 services89 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.
51 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53040 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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$15.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$65.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Internal Medicine
1701 FOND DU LAC AVE
KEWASKUM, WI 53040
Family Medicine
1701 FOND DU LAC AVE
KEWASKUM, WI 53040
Physical Therapist
1701 FOND DU LAC AVE
KEWASKUM, WI 53040
Nurse Practitioner (Family)
1701 FOND DU LAC AVE
KEWASKUM, WI 53040
Family Medicine
1701 FOND DU LAC AVE
KEWASKUM, WI 53040
Nurse Practitioner (Family)
1701 FOND DU LAC AVE
KEWASKUM, WI 53040
Internal Medicine
1701 FOND DU LAC AVE
KEWASKUM, WI 53040
Nurse Practitioner (Family)
1701 FOND DU LAC AVE
KEWASKUM, WI 53040

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 Mateusz Gwizdala's NPI number?

The NPI number for Mateusz Gwizdala is 1821580135. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Mateusz Gwizdala located?

Mateusz Gwizdala practices at 1701 Fond Du Lac Ave, Kewaskum, WI 53040. The listed phone number is (262) 626-4616.

What is Mateusz Gwizdala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mateusz Gwizdala enrolled in Medicare?

Yes. Mateusz Gwizdala 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 Mateusz Gwizdala accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Mateusz Gwizdala 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 Mateusz Gwizdala affiliated with any hospitals?

According to CMS data, Mateusz Gwizdala is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, St Josephs Community Hospital West Bend and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Mateusz Gwizdala was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.