Matthew S. Marcus, M.D.
NPI 1316108475ActiveIndividual· Orthopaedic Surgery, Sports Medicine· Kenosha, WI
Orthopaedic Surgery, Sports Medicine (M.D.) with Advantage Physical Therapy and Sports Rehab, LLC and 1 other group, practicing in Kenosha, Wisconsin. 143 Medicare patients in 2024, $53,894 paid; all of their 79 Part D prescriptions were generic. Enduromed, LLC reported $100.11 in payments in 2025, mostly food and beverage. Lists Aurora Medical Center Kenosha and 1 other hospital as hospital affiliations.
Overview
| NPI | 1316108475 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 21, 2008 |
| Last updated in NPPES | Jan 22, 2025 |
| Certified by provider | Jan 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | 036-132087 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 143 |
|---|---|
| Services billed | 629 across 46 procedure codes |
| Paid by Medicare | $53,894 |
Part D prescriptions in 2024
| Prescriptions (claims) | 79 · 81 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $403.04 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Orthopedic Surgery |
| Secondary specialties | Sports Medicine |
Medical groups
- Advantage Physical Therapy and Sports Rehab, LLCKenosha, WI · 294 clinicians
- Comprehensive Orthopaedics SCBurlington, WI · 21 clinicians
Hospital affiliations
- Aurora Medical Center KenoshaKenosha, WI
- Froedtert South Inc.Kenosha, WI
Industry payments (Open Payments)
- 2025$100.11 · 2 payments from 1 company
- 2024$1,224 · 13 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Enduromed, LLC | $100.11 | 2 |
What the 2025 payments were for
- Food and Beverage$100.11 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records