NPPES file of Aug 9, 2026

Matthew S. Marcus, M.D.

Sports Medicine (Orthopaedic Surgery) Physician · Kenosha, WI

Matthew S. Marcus, M.D. is a sports medicine (orthopaedic surgery) physician with a practice address in Kenosha, Wisconsin, and NPI 1316108475, issued on Jun 21, 2008. Check the license on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1316108475
Name
Matthew S. Marcus
Credential
M.D.
Primary taxonomy
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
License number
036-132087 IL
Self-reported in NPPES; status is on the state search
Practice location
7401 104TH Ave Ste 110, Kenosha, WI 53142
Phone
(262) 764-5595
Enumerated
Jun 21, 2008
Record last updated
Jan 22, 2025
Fax
(262) 764-9314
Medicare enrollment
Enrolled (PECOS I20190103000792); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest sports medicine (orthopaedic surgery) physician records → All 46 in Wisconsin → Look up another NPI →

Also registered at 7401 104TH Ave Ste 110

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jennifer Armstrong, APNPFamily Nurse Practitioner1518509413
  2. Myriam Donovitch, M.DSports Medicine (Family Medicine) Physician1093332389
  3. Clay Frank, M.D.Orthopaedic Surgery of the Spine Physician1003898255
  4. Chelsea Kiser, ATC, BCS-OAthletic Trainer1093410763
  5. Benjamin Lasee, M.D.Orthopaedic Surgery Physician1942526330
  6. William Lutes, D.O.Adult Reconstructive Orthopaedic Surgery Physician1437123080

Verify Matthew S. Marcus in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining BoardCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Wisconsin license search

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73% fewer Medicare Part D claims than the average sports medicine (orthopaedic surgery) physician in 2024

79 Medicare Part D claims for 64 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 18 claims were for opioids.

  1. Matthew Marcus79
  2. Specialty average288

Most prescribed

  1. Methylprednisolone29 claims
  2. Tramadol Hcl12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $1,205.55

12 payments; by number, the most common kind was food and beverage; the largest payer was Arthrex, Inc. The 2,400 providers of this specialty with any payment received $19,779.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Matthew Marcus$1,206
  2. Specialty average$19,779

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Advantage Physical Therapy And Sports Rehab, LLCKenosha, WI
  2. Comprehensive Orthopaedics SCBurlington, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Matthew S. Marcus among 46 sports medicine (orthopaedic surgery) physician records in Wisconsin

Matthew S. Marcus, M.D. is one of 46 sports medicine (orthopaedic surgery) physician records with a practice address in Wisconsin. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 52% of them.

  • NPI issued2008 · 52% of these records are older, 39% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2008 · median 2007 among the 31 with a school on file
  • Record last updated2025 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Orthopaedic Surgery) Physician providers in Wisconsin

There are 46 sports medicine (orthopaedic surgery) physician records in Wisconsin.

All 46 in Wisconsin → Every provider in Kenosha → Sports Medicine (Orthopaedic Surgery) Physician nationwide →

The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes

  1. Jamie Edwards, MDFranklin, WI 531321831293836
  2. Jonathan Stone, M.D.Franklin, WI 531321770920472
  3. Terry Roman, D.O.Watertown, WI 530981083895312
  4. Sandra Koester, ATCWaukesha, WI 531881154839140
  5. John Lesko, M.D.West Bend, WI 530951831196484
  6. Ljiljana Bogunovic, MDPewaukee, WI 530721821227406
  7. Ryan Dopirak, M.D.Milwaukee, WI 532261942210729
  8. Demetrios Douros, M.D.Milwaukee, WI 532261447451265

Common questions

What is Matthew S. Marcus, M.D.'s NPI number?

Matthew S. Marcus, M.D.'s National Provider Identifier (NPI) is 1316108475, issued on Jun 21, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Matthew S. Marcus, M.D. located?

The NPPES record lists a practice address at 7401 104TH Ave Ste 110, Kenosha, WI, 53142. Phone: (262) 764-5595. Providers update this record themselves, so call before visiting.

How can I verify Matthew S. Marcus, M.D.'s license?

Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Matthew S. Marcus, M.D. prescribe under Medicare Part D?

In 2024, Matthew S. Marcus, M.D. had 79 Medicare Part D claims for 64 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.