Active NPI
Matthew James Schaefer, MD
- Diagnostic Radiology Physician
- Mankato, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 49229
- Practice address
- 1025 Marsh St
Mankato, MN 56002-8673 - Phone
- (507) 625-4031
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 49229 | MN | Primary |
Addresses
Primary practice location
1025 Marsh St
Mankato, MN 56002-8673
Mailing address
1025 Marsh St
Mankato, MN 56002-8673
Phone (507) 625-4031
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300004171 | Other | MN | MEDICARE |
| 6G898SC | Other | MN | BLUE CROSS BLUE SHIELD |
| 16-04888 | Other | MN | MEDICA |
| HP78222 | Other | MN | HEALTH PARTNERS |
| 1649324690 | Other | MN | AMERICA'S PPO |
| 960371050961 | Other | MN | PREFERRED ONE |
| 300004172 | Other | MN | MEDICARE |
| 258140100 | Medicaid | MN | |
| P00437110 | Other | MN | MEDICARE - RAILROAD |
| 134332 | Other | MN | UCARE |
| 34787800 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mschaefer90719@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of North Dakota School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southwest Minnesota RegionMayo Clinic Health System-St James
Practice addresses (Care Compare)
101 Martin Luther King Dr
Jr
Mankato, MN 56001-6460
Phone (507) 385-6500
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Phone (507) 375-3261
1400 Madison Ave
Mankato, MN 56001-5473
Phone (507) 625-4031
800 Medical Ctr Dr
Fairmont, MN 56031-4575
Phone (507) 238-8555
Hospital & facility affiliations
- Mayo Clinic Health System - Mankato
- Mayo Clinic Health System - Fairmont
- Mayo Clinic Health System - Waseca
- Mayo Clinic Health System New Prague
- Mayo Clinic Health System St. James
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49229 | MN | MD | Diagnostic Radiology Physician |
Practice roles
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
300 State Ave
Faribault, MN 55021
Phone (507) 333-3300
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431
701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
501 State St N
Waseca, MN 56093
Phone (507) 835-1210
825 Mankato Ave
Winona, MN 55987
Phone (507) 454-4925
1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100
530 W Cairns St
Ellsworth, WI 54011
Phone (715) 273-5061
700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156
Interoperability endpoints
- mschaefer90719@ehrdirect.mayoclinicmsg.org
Organizations & group practices 21
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.
-
- Multi-Specialty Clinic/Center
- Fairmont, MN
- NPI 1366410862
-
- Multi-Specialty Clinic/Center
- Red Wing, MN
- NPI 1114453883
WI
-
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
WI
-
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- Multi-Specialty Clinic/Center
- Saint James, MN
- NPI 1023177730
-
- Critical Access Hospital
- Saint James, MN
- NPI 1639198732
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
MN
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
MN
-
- Multi-Specialty Clinic/Center
- Owatonna, MN
- NPI 1275060030
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairmont, MN
- NPI 1821066499
-
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
-
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- Critical Access Hospital
- Saint James, MN
- NPI 1639198732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1649324690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560028673",
"telephone_number": "507-625-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560028673",
"telephone_number": "507-625-4031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "49229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "300004171",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "6G898SC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "16-04888",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP78222",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "1649324690",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "960371050961",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "300004172",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258140100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - RAILROAD",
"identifier": "P00437110",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "134332",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34787800",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mschaefer90719@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1025 Marsh St",
"city": "mankato",
"state": "MN",
"country_code": "US",
"postal_code": "560028673",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.