Matthew Alan Dahlgren, M.D.
Individual provider Active NPI Ophthalmology Physician · Elkhorn, WI
NPI 1154371367 · NPPES record last updated Apr 21, 2009
Key facts
- NPI
- 1154371367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 48956-020 (WI)
- Practice address
- 1311 S Lincoln St
Elkhorn, WI 53121-4375 - Phone
- (262) 723-4600
- Fax
- (262) 723-4710
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Medical College of Wisconsin, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Physicians and Surgeons SC
Practice addresses (Care Compare)
1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone (262) 723-4600
Hospital & facility affiliations
- Aurora Memorial Hospital Burlington
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.09 of 100
- Quality
- 67.84
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 69.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 242 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060919000472 | WI | Practitioner - Ophthalmology | 9638109713 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48956-020 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physicians & Surgeons SC | Ophthalmology | Current |
Accepting new patients |
| Eye Physicians and Surgeons SC | Ophthalmology | Current |
Accepting new patients |
Locations
675 W State St
Burlington, WI 53105
Phone (262) 763-7613
709 Spring Valley Rd
Burlington, WI 53105
Phone (262) 767-6020
1311 S Lincoln St
Elkhorn, WI 53121
Phone (262) 723-4600
2356 S 102nd St
West Allis, WI 53227
Phone (414) 336-3000
Interoperability endpoints
- mdahlgren41287@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 48956-020 | WI | Yes |
Addresses
Primary practice location
1311 S Lincoln St
Elkhorn, WI 53121-4375
Mailing address
1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone (262) 723-4600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34667800 | Medicaid | WI |
Other providers in Elkhorn, WI
- County of Walworth
- Credence Therapy Associates Inc
- Holly Crowley
- Roberta Cummings
- Janine B Curtin
- Heather Dawn Dalton
- Tonya Jean David
- Lora Renee Defranco
- Matthew Degroot
- Tammie Eileen Demicco
All providers in Elkhorn, WI · Ophthalmology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.