DR. MATTHEW BOGAN (M.D.) – Emergency Medicine Physician, NPI 1689088387

DR. MATTHEW BOGAN (M.D.) is a healthcare provider. based in Saint paul, Minnesota. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 61905 (MN). The NPI Number for DR. MATTHEW BOGAN (M.D.) is 1689088387

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW BOGAN (M.D.)
NPI
1689088387
Phone
(651) 254-5091
Address
640 JACKSON ST # MC11102F
Enumeration Date
20 June 2014
Last Update Date
12 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7152688000
Graduation Year
2010 (16 years ago)
PAC ID
0244508240
Group Practice PAC ID
2769391960
Professional Enrollment ID
I20170615002032
Address ID
WI540011439AM265XXEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,171 EMERGENCY MEDICINE in MN

Provider Addresses for DR. MATTHEW BOGAN (M.D.)

  • 640 JACKSON ST # MC11102F

    SAINT PAUL, MN 551012502

    Phone: (651) 254-5091

    Type: Mailing

  • 8170 33RD AVE S

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 640 Jackson St # Mc11102F

    Saint Paul, MN 551012502

    Phone: (651) 254-5091

    Type: Location

  • 535 Hospital Rd

    New Richmond, WI 540171449

    Phone: (715) 243-2600

    Type: Location

  • 405 Stageline Rd

    Hudson, WI 540167848

    Phone: (715) 531-6000

    Type: Location

  • 927 Churchill St W

    Stillwater, MN 550826605

    Phone: (651) 439-5330

    Type: Location

  • 265 GRIFFIN ST E

    AMERY, WI 540011439

    Phone: (715) 268-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170615002032IEmergency MedicineWITBD
I20170718002947IEmergency MedicineMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making9292$0
99284Emergency department visit with moderate level of medical decision making5453$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 55101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769391960View full group profile
NameSpecialtyState
Physician AssistantWI
Nurse PractitionerWI
-WI
Internal Medicine, Pediatric MedicineMN
Family PracticeWI
O T O L A R Y N G O L O G YMN
Internal Medicine, Cardiovascular Disease (Cardiology)MN
Family PracticeWI
Family PracticeCA
Family PracticeIL

Reviews

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Frequently asked questions

Can I verify DR. MATTHEW BOGAN (M.D.) with an NPI only?
You can start verification with NPI 1689088387 for DR. MATTHEW BOGAN (M.D.), then check state licensing separately.
Is DR. MATTHEW BOGAN (M.D.) still practicing?
DR. MATTHEW BOGAN (M.D.) is currently listed as active in the public NPI registry.
What is DR. MATTHEW BOGAN (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. MATTHEW BOGAN (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MATTHEW BOGAN (M.D.) on a map?
Expect Saint Paul, Minnesota as a primary anchor for DR. MATTHEW BOGAN (M.D.) unless the record lists multiple sites.
Is the information about DR. MATTHEW BOGAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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