THOMAS G MATKOV M.D.
NPI 1972524825
Urology in Racine, WI

Q: What is Thomas Matkov's NPI number?

The NPI number for Thomas Matkov is 1972524825. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Q: What is Thomas Matkov's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Matkov was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment

3811 SPRING ST, STE 202, RACINE, WI 53405(262) 687-8202 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Feb 23, 2023, Dec 2, 2021 (3 updates tracked since 2021).

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About Thomas G Matkov M.d. NPPES

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

THOMAS G MATKOV M.D. (NPI 1972524825) is an individual urology provider in Racine, Wisconsin, licensed in Wisconsin (43406-020) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and maintains a secondary practice location in Glenview.

NPPES Registry Identity

NPI1972524825

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameTHOMAS G MATKOVCredential: M.D.

Location Address3811 SPRING ST, STE 202Racine, WI 53405-1667

Mailing Address3811 Spring St Ste 202Mount Pleasant, WI 53405-1667 · (262) 687-8202

Phone(262) 687-8202

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJuly 23, 2006

Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1972524825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in WI · 43406-020✔ Licensed in IL · 036103872

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3811 SPRING ST, Racine, WI 53405

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Secondary Practice Location 1

Location 12701 Patriot BlvdGlenview, IL 60026-8066 · Phone (847) 535-7657 · Fax (847) 998-9102

Other Identifiers 1

Medicaid34120500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 and accepts Medicare assignment

Thomas G Matkov 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 ID7911000567

PECOS Enrollment IDI20070320000156

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

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

Aurora Medical Group, Inc.

19 mi

Nurse Anesthetist, Certified Registered

3301 W FOREST HOME AVE
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1427271378 (877) 576-3544

Amg Illinois Ltd

26 mi

Internal Medicine

45 TOWER CT, SUITE C
Gurnee, IL 60031

Reassigned Medicare billing, Wisconsin enrollment
42 clinicians in this Medicare group

NPI 1972741759 (847) 623-3200

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 15

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.

751 services478 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

380 services283 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

265 services207 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

106 services76 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.

79 services79 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

37 services11 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

30 services25 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

24 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

23 services17 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

21 services13 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.

18 services14 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

16 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

12 services12 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520059

Location252 Mchenry StBurlington, WI 53105 · Racine County

Emergency services

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520206

Location36500 Aurora DriveSummit, WI 53066 · Waukesha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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

$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.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers13 claims3,348 services$1.70 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers24 claims46 services$7.96 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.

A.Q.KHAN, M.D., S.C.

Anesthesiology

3811 SPRING ST
RACINE, WI 53405

Racine County (262) 687-6260

RICHARD STOLTENBERG MD

Surgery

3811 SPRING ST, SUITE 201
RACINE, WI 53405

Racine County (262) 687-5850

DR. CHRISTOPHER J MAY PT, DPT, OCS

Physical Therapist

3811 SPRING ST
MOUNT PLEASANT, WI 53405

Racine County (262) 687-5300

MATTHEW ANDERSON DPT

Physical Therapist

3811 SPRING ST
MOUNT PLEASANT, WI 53405

Racine County (262) 687-5300

JANICE GAETH

Audiologist

3811 SPRING ST, SUITE 303
RACINE, WI 53405

Racine County (262) 687-8210

LEIGH PITTS PA

Physician Assistant

3811 SPRING ST, SUITE 201
RACINE, WI 53405

Racine County (262) 687-5800

TINA M L BOTSFORD MSN, FNP-BC

Nurse Practitioner (Family)

3811 SPRING ST
MOUNT PLEASANT, WI 53405

Racine County (262) 498-1773

INDUR WADHWANI MD

Urology

3811 SPRING ST
RACINE, WI 53405

Racine County (262) 687-8202

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 Thomas Matkov's NPI number?

The NPI number for Thomas Matkov is 1972524825. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Thomas Matkov located?

Thomas Matkov practices at 3811 Spring St Ste 202, Racine, WI 53405. The listed phone number is (262) 687-8202.

What is Thomas Matkov's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Thomas Matkov enrolled in Medicare?

Yes. Thomas Matkov 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 Thomas Matkov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Matkov reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (Milwaukee, WI) and Amg Illinois Ltd (Gurnee, IL). 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 Thomas Matkov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Matkov accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Thomas Matkov 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 Thomas Matkov affiliated with any hospitals?

According to CMS data, Thomas Matkov is affiliated with Aurora Memorial Hospital Burlington, Aurora Medical Center Kenosha and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Thomas Matkov was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.