Mathew Pothen, M.D.
NPI 1255505434 · Family Medicine Physician · Mount Pleasant, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mathew Pothen, M.D. is a Family Medicine Physician provider in Mount Pleasant, WI (NPI 1255505434).
Provider details
- NPI number
- 1255505434
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 54995 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
337 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 143 | $78 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 54 | $112 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 46 | $97 |
| Automated Urinalysis Test81003 | 23 | $2 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 | 19 | $35 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 19 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 217 | 204 |
| Azithromycin | 86 | 83 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 47 | 47 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 46 | 46 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 36 | 34 |
| Naproxen | 22 | 22 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass |
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-17
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Mathew Pothen's NPI number?
- Mathew Pothen's National Provider Identifier (NPI) is 1255505434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mathew Pothen's specialty?
- Mathew Pothen is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mathew Pothen located?
- Mathew Pothen's practice location on file with NPPES is 8348 Washington Ave, Mount Pleasant, WI 53406-3733.
- What is Mathew Pothen's phone number?
- The practice phone number listed in the NPPES registry for Mathew Pothen is (262) 884-4000.
- Does Mathew Pothen accept Medicare?
- Mathew Pothen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mathew Pothen's NPI active?
- Yes — Mathew Pothen's NPI (1255505434) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.