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Active NPI 1194130179 Individual Practitioner Male Practitioner

Mathew Otto

Physician Assistant • Milwaukee, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mathew Otto is a certified Physician Assistant practicing in Milwaukee, WI. With approximately 12 years of clinical experience since completing medical education in 2014, Mathew Otto delivers high-quality medical care to the local community at 2900 W OKLAHOMA AVE.

Mathew Otto is affiliated with Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2900 W Oklahoma Ave

Milwaukee, WI 532154330

Telephone 4146462550
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Milwaukee, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +1.9 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
824 Specialists

Practicing in Milwaukee, WI (3517 Statewide)

Telehealth Adoption Rate
11.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Otto (12 Years) 12 Yrs
Milwaukee Specialty Average (10.1 Years) 10.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $350.00 $69.90

Medical Specialties & State Licenses

CMS Verified: 2025-04-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 3324-23

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100038892 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

12203 N Corporate Pkwy, Mequon, WI 530923388

Phone: 2623878200

Aurora Advanced Healthcare, Inc.

1475 W Grand Ave, Port Washington, WI 530742074

Phone: 2622685100

Secondary Practice Locations

2801 W Kinnickinnic River Pkwy # 3

Milwaukee, WI 532153669

Phone: 2623915659

Practice Associates & Co-Workers

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

7 Associated Practitioners
Mara Stasik , PA-C

Physician Assistant

NPI 1013312867

Physician Assistant (Certified)

Kaitlyn Fredrich , PA-C

Physician Assistant

NPI 1134572100

Physician Assistant (Certified)

Chelsea Reuter-Seng

Physician Assistant

NPI 1487280459
Heather Elertson , NP

Nurse Practitioner

NPI 1619523115

Nurse Practitioner

Dr. Hoonbae Jeon , MD

Transplant Surgery

NPI 1881652352

Doctor of Medicine (M.D.)

Haley Cook , PA-C

Physician Assistant

NPI 1962853507

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 03, 2023

Registered at 2900 W OKLAHOMA AVE, MILWAUKEE, WI 532154330 (Tel: 4146462550)

📍
Updated Business Mailing Address October 03, 2023

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 4146462550)

NPI Profile Active June 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2014

Registered at 2801 W KINNICKINNIC RIVER PKWY # 3, MILWAUKEE, WI 532153669 (Tel: 2623915659)

📍
Updated Business Mailing Address June 27, 2014

Registered at 1592 N WARREN AVE, MILWAUKEE, WI 532022265 (Tel: 2623915659)

👤
Provider Name / Credentials Updated June 27, 2014

Recorded as MATHEW OTTO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2014

Physician Assistant (License #3324-23 in WI)

🟢
Initial NPI Registration & Enumeration June 27, 2014

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: 1194130179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2014
Last Update: April 30, 2025
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 4146462550

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.