ANNE MARIE C MATELSKI PA
NPI 1881168680
Physician Assistant in Beloit, WI

Active since January 15, 2019PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511(608) 364-2240(608) 363-7374 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anne Marie C Matelski Pa NPPES

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

ANNE MARIE C MATELSKI PA (NPI 1881168680) is an individual physician assistant in Beloit, Wisconsin and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881168680
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNE MARIE C MATELSKICredential: PA
Location AddressBELOIT CLINIC, 1905 E. HUEBBE PARKWAYBeloit, WI 53511-1842
Mailing AddressBeloit Clinic, 1905 E. Huebbe ParkwayBeloit, WI 53511-1842 · (608) 364-2293 · Fax (608) 364-5452
Fax(608) 363-7374
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 15, 2019
NPI 1881168680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
BELOIT CLINIC, Beloit, WI 53511

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

Anne Marie C Matelski Pa 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 ID5294075255
PECOS Enrollment IDI20190329000517
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.
241 services215 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.
51 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services14 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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.

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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers292 claims292 services$36.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers129 claims129 services$82.16 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers136 claims368 services$32.76 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers109 claims579 services$17.92 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers90 claims465 services$13.52 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers194 claims194 services$53.49 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 20

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

Nurse Practitioner
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Family Medicine
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Nurse Practitioner
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Physician Assistant
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Orthopaedic Surgery
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Obstetrics & Gynecology
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Obstetrics & Gynecology
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Otolaryngology
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511

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 Anne Marie Matelski's NPI number?

The NPI number for Anne Marie Matelski is 1881168680. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Anne Marie Matelski located?

Anne Marie Matelski practices at Beloit Clinic 1905 E. Huebbe Parkway, Beloit, WI 53511. The listed phone number is (608) 364-2240.

What is Anne Marie Matelski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anne Marie Matelski enrolled in Medicare?

Yes. Anne Marie Matelski 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 Anne Marie Matelski accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Anne Marie Matelski 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 Anne Marie Matelski affiliated with any hospitals?

According to CMS data, Anne Marie Matelski is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Anne Marie Matelski was last updated on January 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.