Andrew T. Matheus, MD
NPI 1467460980ActiveIndividual· Family Medicine· Ashland, WI
Family Medicine (MD) in Ashland, Wisconsin, trained at University of Wisconsin School of Medicine (class of 1989). Their prescriptions cost Medicare Part D more than their services did: $498,286 for 6,187 claims, against $60,889 paid for services in 2024.
Overview
| NPI | 1467460980 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 3, 2006 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 33091 | WI |
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 - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 207 |
|---|---|
| Services billed | 4,567 across 57 procedure codes |
| Paid by Medicare | $60,889 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,187 · 9,828 30-day fills |
|---|---|
| Patients | 322 |
| Total drug cost | $498,286 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Family Practice |
Medical group
- Mainstreet Clinic SCAshland, WI · 2 clinicians
Hospital affiliations
- Essentia Health St Mary's Medical CenterDuluth, MN
- St Lukes HospitalDuluth, MN
- Tamarack Health Ashland Medical CenterAshland, WI
- Tamarack Health Hayward Medical CenterHayward, WI
Other facilities
- Avanti Home CareHome health agency · Ashland, WI
- Regional Hospice ServicesHospice · Ashland, 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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All 33 family medicine physicians in Ashland · All family medicine physicians in Wisconsin