DR. EDUARD MATKOVIC M.D.
NPI 1871912998
Pathology - Hematology in Madison, WI

Q: What is Eduard Matkovic's NPI number?

The NPI number for Eduard Matkovic is 1871912998. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Q: What is Eduard Matkovic's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.

Q: When was this NPI record last updated?

The NPPES record for Eduard Matkovic was last updated on October 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2014PECOS EnrolledAccepts Medicare Assignment

77.43/100

CMS Quality Rating

600 HIGHLAND AVE, MADISON, WI 53792(608) 263-8443 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2022, Jul 18, 2022, Jun 22, 2021 and 2 more (5 updates tracked since 2017).

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About Dr. Eduard Matkovic M.d. NPPES

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

DR. EDUARD MATKOVIC M.D. (NPI 1871912998) is an individual hematology provider in Madison, Wisconsin, licensed in Wisconsin (65714-20) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1871912998

Entity TypeIndividualMale

Primary Taxonomy207ZH0000X

Provider Legal NameDR. EDUARD MATKOVICCredential: M.D.

Location Address600 HIGHLAND AVEMadison, WI 53792-2908

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 263-8443

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateApril 16, 2014

Last NPPES UpdateOctober 20, 20225 updates tracked since enumeration

NPPES CertifiedOctober 20, 2022

✔ NPI 1871912998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · HematologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZH0000X

License✔ Licensed in WI · 65714-20

Definition

A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 036157199 (IL), 65714-20 (WI)

Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License 65714-20 (WI)

600 HIGHLAND AVE, Madison, WI 53792

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.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

Dr. Eduard Matkovic M.d. 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 ID6406270636

PECOS Enrollment IDI20220830001978

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 13

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.

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

328 services59 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

139 services106 patients

Bone marrow, smear interpretation 85097

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

95 services89 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

93 services87 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

77 services73 patients

Flow cytometry technique for dna or cell analysis, 9 to 15 markers 88188

Flow cytometry is a technique used to measure physical and chemical characteristics of cells or particles. It can analyze multiple markers (9 to 15) on a cell, helping to identify its type and function. This process can also examine DNA within cells for any abnormalities.

70 services66 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

46 services46 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

40 services35 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

24 services23 patients

Surgical pathology consultation and report on referred slides prepared elsewhere 88321

A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.

22 services21 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers 88189

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

19 services19 patients

Flow cytometry technique for dna or cell analysis, 2 to 8 markers 88187

Flow cytometry is a technique that helps analyze your cells and DNA. It uses lasers to identify and sort cells based on their properties, marked by up to 8 different markers. This helps in diagnosing and monitoring various health conditions.

15 services15 patients

Genetic sequencing localization, initial procedure 88365

Genetic sequencing localization is a process to identify where specific genes are located in your DNA. During the initial procedure, a sample of your cells is collected, usually through a simple swab or blood test. This data is then analyzed to pinpoint the location of certain genes. This can help understand your genetic makeup and potential health risks.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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 53792 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.

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.

77.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.83

Promoting Interoperability

Improvement Activities

Cost

62.12

Other Providers at the Same Location NPPES 19

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

PETER STIER M.D.

Emergency Medicine