Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720810351 Individual Practitioner Female Practitioner

Brianna Terese Matundulo , PA-C

Physician Assistant • Madison, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Brianna Matundulo, PA-C is a certified Physician Assistant practicing in Madison, WI. With approximately 2 years of clinical experience since completing medical education in 2024, Brianna Matundulo delivers high-quality medical care to the local community at 1821 S STOUGHTON RD.

Brianna Matundulo is affiliated with Dean Health Systems Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1821 S Stoughton Rd

Madison, WI 537162257

Telephone 6082606000
Fax 6082606366
Associated Practice Facility / Clinic
🏢 Dean Health Systems, Inc Facility NPI 1578570974

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Madison, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -10.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
397 Specialists

Practicing in Madison, WI (3517 Statewide)

Telehealth Adoption Rate
18.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Matundulo (2 Years) 2 Yrs
Madison Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 12 $361.00 $102.56

Medical Specialties & State Licenses

CMS Verified: 2024-09-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 8069-23

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1720810351 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

515 22nd Ave, Monroe, WI 535661569

Phone: 6083242000

Dean Health Systems Inc

700 S Park St, Madison, WI 537151830

Phone: 6082516100

Dean Health Systems Inc

10 Tower Dr, Sun Prairie, WI 535901239

Phone: 6088253500

Dean Health Systems Inc

700 S Park St, Madison, WI 537151830

Phone: 6082602900

Dean Health Systems Inc

1821 S Stoughton Rd, Madison, WI 537162257

Phone: 6082606000

Dean Health Systems Inc

1211 Fish Hatchery Rd, Madison, WI 537151909

Phone: 6082528000

Dean Health Systems Inc

103 Lake St, Deerfield, WI 535319455

Phone: 6087645487

Dean Health Systems Inc

2825 Hunters Trl, Portage, WI 539013429

Phone: 6087425522

Dean Health Systems Inc

752 N High Point Rd, Madison, WI 537172236

Phone: 6088244000

Dean Health Systems Inc

2805 Hunters Trl, Portage, WI 539013429

Phone: 6087455900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003229055

Doctor of Medicine (M.D.)

Dr. Yingyu Gao , MD

Allergy & Immunology

NPI 1003435058

Doctor of Medicine (M.D.)

Dr. Maria Din , DO

Family Medicine

NPI 1013351055

Doctor of Osteopathic Medicine (D.O.)

Jessica Poirier

Family Medicine

NPI 1013655448
Dr. Rosa Gilestra , MD

Family Medicine

NPI 1013952894

Doctor of Medicine (M.D.)

Tracy Todorovic , SLP

Speech-Language Pathologist

NPI 1023685542

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated September 24, 2024

Recorded as BRIANNA MATUNDULO, PA-C

NPI Profile Active August 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2024

Registered at 1821 S STOUGHTON RD, MADISON, WI 537162257 (Tel: 6082606000)

📍
Updated Business Mailing Address August 14, 2024

Registered at W204N12570 GOLDENDALE RD, RICHFIELD, WI 530769769 (Tel: 2624233820)

👤
Provider Name / Credentials Updated August 14, 2024

Recorded as BRIANNA MATUNDULO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 14, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720810351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2024
Last Update: September 24, 2024
Sole Proprietor: No

Mailing Address

W204n12570 Goldendale Rd

Richfield, WI 530769769

Phone: 2624233820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.