DR. JAMES DEAN MATACZYNSKI MD
NPI 1285613109
Family Medicine in Mount Pleasant, WI
NPI Status: Active since January 10, 2006
Contact Information
3805B SPRING ST
SUITE 250
MOUNT PLEASANT, WI
ZIP 53405
Phone: (262) 634-6679
Fax: (262) 634-7935
- Individual
- Male
- Family Medicine
- PECOS Enrolled
About JAMES MATACZYNSKI
This page provides the complete NPI Profile along with additional information for James Mataczynski, a primary care provider established in Mount Pleasant, Wisconsin with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1285613109 assigned on January 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 31067 020 (WI). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1285613109
- Provider Name
- DR. JAMES DEAN MATACZYNSKI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3805B SPRING ST SUITE 250 MOUNT PLEASANT, WI 53405
- Location Phone
- (262) 634-6679
- Location Fax
- (262) 634-7935
- Mailing Address
- 3805B SPRING ST SUITE 250 MOUNT PLEASANT, WI 53405
- Mailing Phone
- (262) 634-6679
- Mailing Fax
- (262) 634-7935
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-10-2006
- Last Update Date
- 04-22-2015
- Code Navigator
A primary care provider (PCP) like James Mataczynski sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 31067 020
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31598100 | MEDICAID (05) | WI | |
| E59563 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
James Mataczynski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53405 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 1 | 3 | 1 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 1 | 6 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 1 + 6 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1285613109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972574143 | HARVEY I KAUFMAN PHD Individual | Clinical Neuropsychologist | 3805B SPRING ST SUITE 120 RACINE, WI 53405 (262) 631-8550 |
| 1972543452 | BRUCE LUCCAS M.D. Individual | Family Medicine | 3805B SPRING ST SUITE 130 RACINE, WI 53405 (262) 631-8750 |
| 1922038900 | JOSEPH BERGS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3805B SPRING ST SUITE 240 RACINE, WI 53405 (262) 687-8108 |
| 1063430023 | INDER PAUL SINGH Individual | Ophthalmology | 3805B SPRING ST SUITE 140 RACINE, WI 53405 (262) 637-8835 |
| 1427070259 | STEPHEN J PRUETT Individual | Optometrist | 3805B SPRING ST SUITE 140 RACINE, WI 53405 (262) 637-8835 |
| 1528082534 | STEPHEN J. PAGANO M.D. Individual | Psychiatry & Neurology (Neurology) | 3805B SPRING ST SUITE 320 RACINE, WI 53405 (262) 687-8322 |
| 1659380236 | BYUNG H. PARK M.D. Individual | Psychiatry & Neurology (Neurology) | 3805B SPRING ST STE 320 RACINE, WI 53405 (262) 687-8322 |
| 1780694414 | LAWRENCE TOLSON MD Individual | Internal Medicine | 3805B SPRING ST SUITE 260 RACINE, WI 53405 (262) 687-6150 |
| 1528178563 | MRS. NATHALIE ANNE KING PA Individual | Physician Assistant | 3805B SPRING ST SUITE 320 RACINE, WI 53405 (262) 687-8322 |
| 1023204963 | BRUCE A LUCCAS, MD, LLC Organization | Family Medicine | 3805B SPRING ST STE 130 RACINE, WI 53405 (262) 631-8750 |
| 1508042060 | DR. RADHA KRISHNA SANKA M.D. Individual | Ophthalmology | 3805B SPRING ST MOUNT PLEASANT, WI 53405 (262) 637-0500 |
| 1649574054 | E BRUNS FOOT AND ANKLE SC Organization | Podiatrist (Foot & Ankle Surgery) | 3805B SPRING ST SUITE 340 RACINE, WI 53405 (262) 248-9565 |
| 1033108014 | MICHAEL DEAN CLARK PA-C Individual | Physician Assistant | 3805B SPRING ST RACINE, WI 53405 (262) 687-4201 |
| 1841631116 | SHIN-YE KIM M.A Individual | Student in an Organized Health Care Education/Training Program | 3805B SPRING ST MOUNT PLEASANT, WI 53405 (262) 687-8322 |
| 1194892265 | DRS DECHECK AND MATACZYNSKI MD SC Organization | Family Medicine | 3805B SPRING ST SUITE250 MOUNT PLEASANT, WI 53405 (262) 634-6679 |
| 1568605616 | DR. WILLIAM PAUL BAKE D.O. Individual | Psychiatry & Neurology (Neurology) | 3805B SPRING ST MOUNT PLEASANT, WI 53405 (262) 687-8322 |
| 1508976515 | MICHELLE BRAUN PHD Individual | Clinical Neuropsychologist | 3805B SPRING ST SUITE 320 RACINE, WI 53405 (262) 687-8322 |
| 1205935681 | JAMES SCARPACI MSW LCSW CADC III Individual | Social Worker (Clinical) | 3805B SPRING ST SUITE 20 MOUNT PLEASANT, WI 53405 (262) 687-2222 |
| 1295101574 | MICHAEL DEROSE LCSW Individual | Social Worker (Clinical) | 3805B SPRING ST SUITE 320 MOUNT PLEASANT, WI 53405 (262) 687-2222 |
| 1326061177 | STEPHEN V. MAWN M.D. Individual | Preventive Medicine (Occupational Medicine) | 3805B SPRING ST SUITE 260 RACINE, WI 53405 (262) 687-6150 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285613109, enumerated in the NPI registry as an "individual" on January 10, 2006
The provider is located at 3805b Spring St Suite 250 Mount Pleasant, Wi 53405 and the phone number is (262) 634-6679
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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