Mathew Herbst, MD
NPI 1811020969 · Family Medicine Physician · Waunakee, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mathew Herbst, MD is a Family Medicine Physician provider in Waunakee, WI (NPI 1811020969).
Provider details
- NPI number
- 1811020969
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,034 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) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 251 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 186 | $121 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 115 | $122 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 88 | $110 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 80 | $86 |
| Administration of Influenza Virus VaccineG0008 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 107 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 297 | 79 |
| Losartan Potassium | 203 | 57 |
| Omeprazole | 170 | 54 |
| Gabapentin | 145 | 44 |
| Levothyroxine Sodium | 144 | 40 |
| Lisinopril | 142 | 38 |
| Rosuvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Frequently asked questions
- What is Mathew Herbst's NPI number?
- Mathew Herbst's National Provider Identifier (NPI) is 1811020969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mathew Herbst's specialty?
- Mathew Herbst is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mathew Herbst located?
- Mathew Herbst's practice location on file with NPPES is 1300 S Century Ave, Waunakee, WI 53597.
- What is Mathew Herbst's phone number?
- The practice phone number listed in the NPPES registry for Mathew Herbst is (608) 849-4315.
- Does Mathew Herbst accept Medicare?
- Mathew Herbst is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mathew Herbst's NPI active?
- Yes — Mathew Herbst's NPI (1811020969) is active in the NPPES registry as of the last update on 2020-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.