Doctor profile · Federal record
Dr. Matthew Marcus, M.D.
Sports Medicine (Orthopaedic Surgery) Physician (CMS: Orthopedic Surgery) · Kenosha, WI
- NPI 1316108475
- Accepts Medicare
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7401 104Th Ave Ste 110
Kenosha, WI 531427845
(262) 764-5595
fax (262) 764-9314
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Profile last updated
- January 22, 2025
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 207XX0005X — NUCC code
- State license (1)
- Illinois #036-132087
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1316108475. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
612
Distinct HCPCS
7
Medicare allowed
$30,247
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 228 | 37 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 193 | 112 | $84 | |
20611 |
Aspiration and/or injection of fluid large joint using ultrasound guidance | 60 | 40 | $102 | |
73030 |
X-ray of shoulder, minimum of 2 views | 52 | 31 | $36 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $105 | |
73502 |
X-ray of hip, 2-3 views | 27 | 18 | $45 | |
73564 |
X-ray of knee, 4 or more views | 14 | 13 | $48 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 87. This provider delivers 7.0× the peer median.Open Payments
Industry payments received
All-time total
$1,206
Transactions
12
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Arthrex, Inc. | 7 | $625.30 | |
| Enduromed, Llc | 5 | $580.25 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
79
Patients
76
Total drug cost
$553
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Methylprednisolone | Generic | 51 | 51 | $409 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 16 | 14 | $118 |
| Tramadol Hcl | Generic | 12 | 11 | $26 |
Hospital affiliations
Frequently asked questions
What is Dr. Matthew Marcus's medical specialty?
Dr. Matthew Marcus practices Sports Medicine (Orthopaedic Surgery) Physician in Kenosha, WI.
Where does Dr. Matthew Marcus practice?
Dr. Matthew Marcus practices at 7401 104Th Ave Ste 110, Kenosha, WI 531427845. Office phone: 2627645595.
What is Dr. Matthew Marcus's NPI?
Dr. Matthew Marcus's National Provider Identifier (NPI) is 1316108475, issued by NPPES.
Does Dr. Matthew Marcus accept Medicare assignment?
Yes. Dr. Matthew Marcus accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Matthew Marcus commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213); Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS 20611). Source: CMS Medicare Physician & Other Practitioners file.