Doctor profile · Federal record
Dr. Mathew Pothen, M.D.
Family Medicine Physician (CMS: Family Practice) · Mount Pleasant, WI
- NPI 1255505434
- 19 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8348 Washington Ave
Mount Pleasant, WI 534063733
(262) 884-4000 - Mailing address
-
Po Box 735044
Chicago, IL 606735044
Credentials & registration
- NPI registered
- April 2008 — 18 yrs on file
- Profile last updated
- October 23, 2025
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Wisconsin #54995
- Medicaid
- WI #100015790
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255505434. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
350
Distinct HCPCS
9
Medicare allowed
$24,548
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 174 | 165 | $80 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 45 | 45 | $114 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 42 | 42 | $101 | |
81003 |
Automated urinalysis test | 21 | 21 | $2 | |
87426 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 16 | 16 | $35 | |
87880 |
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 16 | 16 | $16 | |
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 14 | 13 | $16 | |
69209 |
Removal of impacted ear wax by washing | 11 | 11 | $16 | |
81002 |
Urinalysis, manual test | 11 | 11 | $3 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 76. This provider delivers 4.6× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
520
Patients
513
Total drug cost
$5,366
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Methylprednisolone | Generic | 200 | 196 | $1,794 |
| Azithromycin | Generic | 87 | 86 | $326 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 44 | 44 | $336 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 38 | 38 | $970 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 35 | 35 | $887 |
| Amoxicillin | Generic | 17 | 17 | $99 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 17 | 16 | $217 |
| Naproxen | Generic | 16 | 16 | $210 |
| Triamcinolone Acetonide | Generic | 16 | 15 | $149 |
| Prednisone | Generic | 14 | 14 | $71 |
Frequently asked questions
What is Dr. Mathew Pothen's medical specialty?
Dr. Mathew Pothen practices Family Medicine Physician in Mount Pleasant, WI.
Where does Dr. Mathew Pothen practice?
Dr. Mathew Pothen practices at 8348 Washington Ave, Mount Pleasant, WI 534063733. Office phone: 2628844000.
What is Dr. Mathew Pothen's NPI?
Dr. Mathew Pothen's National Provider Identifier (NPI) is 1255505434, issued by NPPES.
Does Dr. Mathew Pothen accept Medicare assignment?
Dr. Mathew Pothen does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Mathew Pothen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.