Matthew McShane, MD
NPI 1316366701ActiveIndividual· Hospitalist· Appleton, WI
Hospitalist (MD) with Thedacare, Incorporated, practicing in Appleton, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $54,234 for 711 claims, against $34,026 paid for services in 2024. Lists Thedacare Medical Center - New London and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1316366701 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 14, 2014 |
| Last updated in NPPES | Nov 24, 2020 |
| Certified by provider | Nov 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 929 | WI |
| Internal Medicine | 207R00000X | 036141918 | IL |
| Hospitalist | 208M00000X | 036141918 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (IL); Practitioner - Hospitalist (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 177 |
|---|---|
| Services billed | 496 across 10 procedure codes |
| Paid by Medicare | $34,026 |
Part D prescriptions in 2024
| Prescriptions (claims) | 711 · 801 30-day fills |
|---|---|
| Patients | 249 |
| Total drug cost | $54,234 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Hospitalist |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- Thedacare Medical Center - New LondonNew London, WI
- Thedacare Medical Center-WaupacaWaupaca, WI
- Thedacare Regional Med Ctr - NeenahNeenah, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
Other facilities
- Peabody ManorNursing home · Appleton, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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