Doctor profile · Federal record
Dr. Matthew Blievernicht, PT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Physical Therapist · Pewaukee, WI
- NPI 1760640213
- Accepts Medicare
- MIPS 95.3 / 100 · 2023
- 18 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
N15W28300 Golf RD
Pewaukee, WI 530724800
(262) 303-5055
fax (262) 303-5057 - Additional location
-
15280 Nw Central Dr, Suite 101
Portland, OR 972297805
(503) 466-2254
fax (503) 466-1143 - Mailing address
-
790 Remington Blvd
Bolingbrook, IL 604404909
Credentials & registration
- NPI registered
- May 2008 — 18 yrs on file
- Profile last updated
- January 7, 2025
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- Wisconsin #11016 · Oregon #5973
- Medicaid (3)
- WI #100257659 · OR #500609437 · WI #100298600
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1760640213. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
691
Distinct HCPCS
3
Medicare allowed
$18,364
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 336 | 12 | $32 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 237 | 13 | $21 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 118 | 12 | $23 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 264. This provider delivers 2.6× the peer median.Frequently asked questions
What is Dr. Matthew Blievernicht's medical specialty?
Dr. Matthew Blievernicht practices Physical Therapist in Pewaukee, WI.
Where does Dr. Matthew Blievernicht practice?
Dr. Matthew Blievernicht practices at N15W28300 Golf RD, Pewaukee, WI 530724800. Office phone: 2623035055.
What is Dr. Matthew Blievernicht's NPI?
Dr. Matthew Blievernicht's National Provider Identifier (NPI) is 1760640213, issued by NPPES.
Does Dr. Matthew Blievernicht accept Medicare assignment?
Yes. Dr. Matthew Blievernicht accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Matthew Blievernicht commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using manual technique (HCPCS 97140); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.