Active NPI 1386087740 Individual Practitioner Male Practitioner

Dr. Matthew Dean Grimes , MD

Urology • Madison, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Grimes, MD is a certified Urology practicing in Madison, WI. With approximately 13 years of clinical experience since graduating from University Of Washington School Of Medicine in 2013, Dr. Grimes delivers high-quality medical care to the local community at 600 HIGHLAND AVE.

Dr. Grimes is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings, complex measurement of pressure of urine flow in bladder with voiding pressure studies, insertion of device into abdomen with pressure and urine flow rate study. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Highland Ave

Madison, WI 53792

Telephone 6082634757

Associated Practice Facility / Clinic

🏢 University Of Wisconsin Medical Foundation Facility NPI 1528029204

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Madison, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -7.7 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

54 Specialists

Practicing in Madison, WI (278 Statewide)

Telehealth Adoption Rate

38.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

88.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grimes (13 Years) 13 Yrs

Madison Specialty Average (20.7 Years) 20.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	93	92	$707.00	$16.85
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	89	88	$865.00	$94.45
51797 Insertion of device into abdomen with pressure and urine flow rate study	87	86	$485.00	$36.08
52000 Diagnostic exam of bladder and urethra using an endoscope	81	69	$1245.00	$70.93
99213 Established patient office or other outpatient visit, typically 15 minutes	78	71	$234.00	$61.19
51741 Electronic assessment of bladder emptying	65	65	$322.00	$4.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	43	$160.00	$32.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$343.00	$90.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	15	$289.00	$71.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$359.00	$75.32
74450 Radiological supervision and interpretation X-ray of urinary bladder and urethra	23	22	$127.00	$14.64
51610 Injection procedure through bladder and urethra for x-ray imaging	19	18	$746.00	$43.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$536.00	$117.25
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	14	14	$172.00	$14.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$192.00	$42.07
81001 Manual urinalysis test with examination using microscope, automated	12	11	$53.00	$3.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	99	98	$707.00	$17.16
52000 Diagnostic exam of bladder and urethra using an endoscope	96	80	$1219.50	$70.26
51797 Insertion of device into abdomen with pressure and urine flow rate study	90	90	$485.00	$36.72
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	90	90	$865.00	$95.81
99213 Established patient office or other outpatient visit, typically 15 minutes	88	73	$218.30	$61.61
51741 Electronic assessment of bladder emptying	66	65	$322.00	$4.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$346.70	$76.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	50	$155.30	$33.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$314.60	$91.64
74450 Radiological supervision and interpretation X-ray of urinary bladder and urethra	25	22	$127.00	$15.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	15	$277.00	$74.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	19	$510.60	$121.63
51610 Injection procedure through bladder and urethra for x-ray imaging	20	18	$746.40	$45.84
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	17	17	$171.50	$14.38
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	11	$3048.10	$128.02
74420 Imaging of urinary tract	14	11	$243.80	$23.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	103	102	$707.00	$17.46
51797 Insertion of device into abdomen with pressure and urine flow rate study	102	101	$485.00	$37.27
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	102	101	$865.00	$97.47
52000 Diagnostic exam of bladder and urethra using an endoscope	96	79	$1140.00	$72.73
99213 Established patient office or other outpatient visit, typically 15 minutes	85	77	$204.00	$63.31
51741 Electronic assessment of bladder emptying	75	74	$322.00	$4.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$324.00	$78.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	45	$294.00	$92.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	40	$150.00	$33.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	12	$277.00	$66.96
74450 Radiological supervision and interpretation X-ray of urinary bladder and urethra	25	23	$127.00	$15.27
51610 Injection procedure through bladder and urethra for x-ray imaging	22	20	$717.67	$39.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51797 Insertion of device into abdomen with pressure and urine flow rate study	87	85	$485.00	$37.43
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	87	85	$707.00	$17.83
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	87	85	$865.00	$98.87
99213 Established patient office or other outpatient visit, typically 15 minutes	77	65	$194.00	$63.77
52000 Diagnostic exam of bladder and urethra using an endoscope	66	60	$1140.00	$74.13
51741 Electronic assessment of bladder emptying	52	52	$322.00	$4.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	34	$142.00	$34.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	18	$263.00	$68.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$308.00	$77.39
74450 Radiological supervision and interpretation X-ray of urinary bladder and urethra	27	22	$127.00	$15.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$280.00	$92.78
51610 Injection procedure through bladder and urethra for x-ray imaging	20	18	$698.00	$43.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	45	$185.00	$49.47
52000 Diagnostic exam of bladder and urethra using an endoscope	47	43	$1116.91	$77.36
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	43	43	$707.00	$18.57
51797 Insertion of device into abdomen with pressure and urine flow rate study	42	42	$485.00	$39.28
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	42	42	$865.00	$102.97
51741 Electronic assessment of bladder emptying	31	30	$322.00	$5.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$293.00	$72.62
74450 Radiological supervision and interpretation X-ray of urinary bladder and urethra	23	19	$127.00	$16.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$266.00	$76.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	11	$251.00	$69.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$142.00	$24.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	43	$228.16	$48.40
52000 Diagnostic exam of bladder and urethra using an endoscope	33	33	$1022.27	$75.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$324.63	$71.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	18	$268.95	$67.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$138.33	$37.28
74420 Imaging of urinary tract	16	14	$87.81	$24.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$279.00	$69.05

Medical Specialties & State Licenses

CMS Verified: 2021-01-21

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WI 64021

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License IA MD-44977

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

600 Highland Ave, Madison, WI 537920001

Phone: 6082636400

Secondary Practice Locations

200 Hawkins Dr

Iowa City, IA 52242

Phone: 3193848904

200 Hawkins Dr

Iowa City, IA 52242

Phone: 3193848904

200 Hawkins Dr

Iowa City, IA 52242

Phone: 3193848904

200 Hawkins Dr

Iowa City, IA 52242

Phone: 3193848904

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. Elizabeth Koehne , MD

Urology

NPI 1063873446

Doctor of Medicine (M.D.)

Jacob Macdowell , PA-C

Physician Assistant - Surgical

NPI 1083240865

Physician Assistant (Certified)

Dr. Edwin Abel , MD

Urology

NPI 1083800510

Doctor of Medicine (M.D.)

Dr. Ga Mei Zeng , MD

Urology

NPI 1104669811

Doctor of Medicine (M.D.)

Dr. Sara Best , MD

Urology

NPI 1124079207

Doctor of Medicine (M.D.)

Dr. Michael Korostensky , MD

Urology

NPI 1245057181

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

17 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2021

Urology (License #64021 in WI)

📍

Updated Practice Location September 03, 2019

Registered at 600 HIGHLAND AVE, MADISON, WI 53792 (Tel: 6082634757)

📍

Updated Business Mailing Address September 03, 2019

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2019

Urology (License #MD-44977 in IA)

📍

Updated Practice Location August 23, 2018

Registered at 200 HAWKINS DR, IOWA CITY, IA 52242 (Tel: 3193848904)

📍

Updated Business Mailing Address August 23, 2018

Registered at 200 HAWKINS DR, IOWA CITY, IA 522421009 (Tel: 3193848904)

✅

NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2017

Registered at UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 537920001 (Tel: 6082631363)

📍

Updated Business Mailing Address March 10, 2017

Registered at UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 537920001 (Tel: 6082631363)

👤

Provider Name / Credentials Updated March 10, 2017

Recorded as MATTHEW GRIMES, M.D,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Urology (License #64021 in WI)

✅

NPI Profile Active April 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 16, 2013

Registered at UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 537920001 (Tel: 6082631363)

📍

Updated Business Mailing Address April 16, 2013

Registered at UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 537920001 (Tel: 6082631363)

👤

Provider Name / Credentials Updated April 16, 2013

Recorded as MATTHEW GRIMES

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 16, 2013

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: 1386087740

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 16, 2013

Last Update: January 21, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

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.