Active NPI
Matthew R Wilber, DPM
- Primary Podiatric Medicine Podiatrist
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 639
- Practice address
- 2332 Cumberland Square Dr
Bettendorf, IA 52722-3219 - Phone
- (563) 391-2889
- Fax
- (563) 391-2988
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 639 | IA | Primary |
Addresses
Primary practice location
2332 Cumberland Square Dr
Bettendorf, IA 52722-3219
Mailing address
2332 Cumberland Square Dr
Bettendorf, IA 52722-3219
Phone (563) 391-2889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2332 Cumberland Square Dr
Bettendorf, IA 52722-3219
Phone (563) 391-2889
2570 24TH St
Suite 122
Rock Island, IL 61201-5394
Phone (563) 391-2889
Hospital & facility affiliations
- Genesis Medical Center-Davenport
- Trinity - Bettendorf
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.98 of 100
- Quality
- 63.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1279 |
| Removal or shaving of skin growth | 390 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 639 | IA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Center | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Trinity Medical Center | Current | Accepting new patients | |
| Quad Cities Foot & Ankle Associates PC | Primary Podiatric Medicine | Current | Accepting new patients |
| Orthopaedic Specialists PC | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 110
Bettendorf, IA 52722
Phone (563) 340-3095
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
2332 Cumberland Square Dr
Bettendorf, IA 52722
Phone (563) 391-2889
3385 Dexter Ct
Ste 300
Davenport, IA 52807
Phone (563) 344-9292
3940 Marquette St
Davenport, IA 52806
Phone (563) 386-3111
1901 7th St
Moline, IL 61265
Phone (309) 764-6006
600 Valley View Dr
Moline, IL 61265
Phone (309) 757-7196
500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840
600 Valley View Dr
Lowr L
Moline, IL 61265
Phone (563) 344-9292
2570 24th St
Ste 122
Rock Island, IL 61201
Phone (309) 779-3868
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
Interoperability endpoints
- https://api.platform.athenahealth.com/11329/brand/1/csg/1/fhir/r4
- matthew.wilber.1@11329.direct.athenahealth.com
- mwilber92564@direct.unitypoint.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Bettendorf, IA
- NPI 1639517501
IL
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Orthopaedic Surgery Physician
- Davenport, IA
- NPI 1831168764
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1114904257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2332 CUMBERLAND SQUARE DR",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223219",
"telephone_number": "563-391-2889",
"fax_number": "563-391-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2332 CUMBERLAND SQUARE DR",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223219",
"telephone_number": "563-391-2889",
"fax_number": "563-391-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBER",
"first_name": "MATTHEW",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "IA",
"license": "639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.