MATTHEW GREGORY RAJALA (PA) – Physician Assistant, NPI 1174050918

MATTHEW GREGORY RAJALA (PA) is a healthcare provider. based in Madison, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MATTHEW GREGORY RAJALA (PA) is 1174050918

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW GREGORY RAJALA (PA)
NPI
1174050918
Phone
(920) 475-5750
Address
3630 DENNETT DR
Enumeration Date
11 May 2017
Last Update Date
11 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087424131
Graduation Year
2017 (9 years ago)
PAC ID
3072885482
Group Practice PAC ID
5799684007
Professional Enrollment ID
I20170821000629
Address ID
WI539019240PO2817XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

3,703 PHYSICIAN ASSISTANT in WI

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Provider Addresses for MATTHEW GREGORY RAJALA (PA)

  • 3630, Dennett Drive, Madison, Dane County, Wisconsin, 53714, United States

    MADISON, WI 537142920

    Phone: (920) 475-5750

    Type: Mailing

  • Aspirus Divine Savior Hospital, 2817, New Pinery Road, Portage, Columbia County, Wisconsin, 53901, United States

    PORTAGE, WI 539019240

    Phone: (608) 742-4131

    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: 2017-08-21

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20170821000629IPhysician AssistantWITBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9015$0
99213Established patient office or other outpatient visit, 20-29 minutes6046$0
20610Aspiration and/or injection of fluid from large joint5434$0
27447Replacement of knee joint, both sides of knee1414$0
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 53714)

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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: 5799684007View full group profile
NameSpecialtyState
Emergency MedicineMI
Physician AssistantWI
Emergency MedicineWI
Physical Medicine And RehabilitationWI
Emergency MedicineWI
Certified Registered Nurse Anesthetist (Crna)WI
Addiction Medicine, Emergency MedicineWI
Physician AssistantWI
Emergency MedicineNY
Hospitalist, Internal MedicineWI

Reviews

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Frequently asked questions

Is MATTHEW GREGORY RAJALA (PA) listed with a National Provider Identifier?
Yes — MATTHEW GREGORY RAJALA (PA) has NPI 1174050918 on file in the registry.
Is MATTHEW GREGORY RAJALA (PA) still an active registrant?
MATTHEW GREGORY RAJALA (PA) carries an active NPI according to the public dataset.
What area of care is associated with MATTHEW GREGORY RAJALA (PA)?
MATTHEW GREGORY RAJALA (PA)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MATTHEW GREGORY RAJALA (PA)?
Travel planning: use Madison, Wisconsin as the reference point for MATTHEW GREGORY RAJALA (PA), then confirm.
When was this NPI issued?
Enumeration for MATTHEW GREGORY RAJALA (PA) is noted as May 11, 2017 where the registry provides it.

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