MATTHEW SCOTT WATKINS PT
NPI 1912885476
Physical Therapist in Sheboygan, WI

Active since August 23, 2025Accepts Medicare Assignment
3113 SAEMANN AVE, SHEBOYGAN, WI 53081(920) 496-4700 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Scott Watkins Pt NPPES

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

MATTHEW SCOTT WATKINS PT (NPI 1912885476) is an individual physical therapist in Sheboygan, Wisconsin, licensed in Wisconsin (17489-24) and active in the NPI registry since August 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1912885476
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMATTHEW SCOTT WATKINSCredential: PT
Location Address3113 SAEMANN AVESheboygan, WI 53081-1957
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 23, 2025
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1912885476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 17489-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3113 SAEMANN AVE, Sheboygan, WI 53081

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Scott Watkins Pt 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 ID345742425
PECOS Enrollment IDI20250908001467

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Watkins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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 20

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

Nurse Practitioner (Gerontology)
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Surgery
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Psychiatry & Neurology (Neurology)
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Internal Medicine
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Ophthalmology
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Ophthalmology
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Durable Medical Equipment & Medical Supplies
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Physician Assistant
3113 SAEMANN AVE
SHEBOYGAN, WI 53081

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 Watkins's NPI number?

The NPI number for Matthew Watkins is 1912885476. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Where is Matthew Watkins located?

Matthew Watkins practices at 3113 Saemann Ave, Sheboygan, WI 53081. The listed phone number is (920) 496-4700.

What is Matthew Watkins's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Matthew Watkins enrolled in Medicare?

Yes. Matthew Watkins 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.

Which organizations bill Medicare for Matthew Watkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Watkins reassigns Medicare benefits to 2 organizations: St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI) and St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI). 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 Watkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Watkins accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew Watkins 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 Watkins was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.