Dr. Matthew S. Marcus
- Gender: Male
- Experience: 13 years
- Graduation year: 2008
- Sole propriator: No
- NPI: 1316108475
Dr. Matthew S. Marcus M.D.
Orthopedic Surgeon
He is located at 7401 104th Avenue Suite 110 in Kenosha, WI 53142. Can help patients with the following: Arthritis, Dislocated Shoulder, Joint Fluid Extraction, Kyphoplasty, Spondylolysis, Stress Fracture. His National Provider Identifier (NPI) number is 1316108475. Appointment can be made via the phone number (262) 764-5595. He is affiliated with 2 practices and 1 hospitals.
Conditions treated
Dr. Matthew S. Marcus, being an orthopedic surgeon, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Matthew S. Marcus.
- ACL Tear
- Achilles Tendon Rupture
- Arthritis
- Avascular Necrosis
- Back Pain
- Baker's Cyst
- Bone Spurs
- Broken Bone
- Bunions
- Bursitis
- Carpal Tunnel Syndrome
- Cauda Equina Syndrome
- Cervical Radiculopathy
- Compartment Syndrome
- Cubital Tunnel Syndrome
- Degenerative Disc Disease (DDD)
- Dislocated Ankle
- Dislocated Shoulder
- Elbow Pain
- Frostbite
- Hammer Toe
- Herniated Disc
- Hip Replacement
- Iliotibial Band Syndrome (ITBS)
- Impingement Syndrome
- Ingrown Toenail
- Joint Fluid Extraction
- Knee Pain
- Knee Replacement
- Kyphoplasty
- Kyphosis
- Low Back Pain
- Lumbar Spinal Stenosis
- Meniscus Tear
- Metatarsal Surgery
- Morton's Neuroma
- Osgood-Schlatter Disease
- Osteoarthritis (OA)
- Osteomyelitis
- Patellofemoral Pain Syndrome (PFS)
- Plantar Fasciitis
- Repetitive Motion Disorders (RMDs)
- Rheumatoid Arthritis (RA)
- Rotator Cuff Tear
- Sciatica
- Scoliosis
- Separated Shoulder
- Spinal Stenosis
- Spondylolisthesis
- Spondylolysis
- Spondylosis
- Sprained Ankle
- Sprained Wrist
- Stress Fracture
- Tennis Elbow
- Trigger Finger
- Whiplash
- Wrist Surgery
Procedures Performed by Dr. Matthew S. Marcus
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Matthew S. Marcus as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Mar 25, 2026, as reported by the insurer.
Show all 18 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
Network Health
Network data as of Jan 12, 2026, as reported by the insurer.
Show all 14 plans from Network Health
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Prestige Bronze $0 Medical Deductible (2 plan variants) | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductible | Accepting new patients |
| Prestige Bronze $0 Medical Deductible + Dental + Vision | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductibledv | Accepting new patients |
| Prestige Bronze $0 Medical Deductible + Dental +Vision | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductibledv | Accepting new patients |
| Prestige Bronze Essential + 3 Free PCP Visits | HMO · Expanded Bronze | Prestigebronzeessential | Accepting new patients |
| Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits | HMO · Expanded Bronze | Prestigebronzeessentialdv | Accepting new patients |
| Prestige Bronze Plus | HMO · Expanded Bronze | Prestigebronzeplus | Accepting new patients |
| Prestige Gold | HMO · Gold | Prestigegold | Accepting new patients |
| Prestige Gold 50 + 1 Free PCP Visit | HMO · Gold | Prestigegoldfifty | Accepting new patients |
| Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit | HMO · Gold | Prestigegoldfiftydv | Accepting new patients |
| Prestige Gold Essential + 3Free PCP Visits | HMO · Gold | Prestigegoldessential | Accepting new patients |
| Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits | HMO · Gold | Prestigegoldessentialdv | Accepting new patients |
| Prestige Silver | HMO · Silver | Prestigesilver | Accepting new patients |
| Prestige Silver Essential + 3 Free PCP Visits | HMO · Silver | Prestigesilveressential | Accepting new patients |
| Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits | HMO · Silver | Prestigesilveressentialdv | Accepting new patients |
UnitedHealthcare
Network data as of Sep 16, 2026, as reported by the insurer.
Show all 13 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Matthew S. Marcus is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Matthew S. Marcus is enrolled to bill Medicare as a Practitioner - Orthopedic Surgery (also registered under: Practitioner - Sports Medicine) .
Bills through: Comprehensive Orthopaedics Sc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Stryker | $318 |
| Smith \u0026 Nephew | $110 |
| Medtronic | $108 |
Other
| Food and Beverage | $536 |
| Travel and Lodging | $2 |
Studies
Graduated in 2008
Looking for more Orthopedic Surgeons?
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- Gender: Male
- Address: Suite 110 7401 104th Avenue Kenosha, 53142, WI
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- Address: Suite 110 7401 104th Avenue Kenosha, 53142, WI
- Gender: Male
- Address: Suite 110 7401 104th Avenue Kenosha, 53142, WI
Questions & Answers
Does Dr. Matthew S. Marcus accept patients with Network Health?
Yes, Dr. Matthew S. Marcus is listed in-network for Network Health through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Has Dr. Matthew S. Marcus affiliation with hospitals?
Dr. Matthew S. Marcus is affiliated with UNITED HOSPITAL SYSTEM.
Where can you meet with Dr. Matthew S. Marcus?
Dr. Matthew S. Marcus's office is located at 7401 104th Avenue Suite 110 in Kenosha, WI 53142.
Does Dr. Matthew S. Marcus have affiliation with practices?
Dr. Matthew S. Marcus is affiliated with University of Illinois Chicago Physician Group (Uicpg). For the full list of practices see this list.
What conditions does Dr. Matthew S. Marcus treat?
Dr. Matthew S. Marcus provides treatment for Arthritis, Dislocated Shoulder, Joint Fluid Extraction, Kyphoplasty, Spondylolysis, Stress Fracture. For the full list see this list.