MATTHEW HUDDLESTON (MD) – Family Medicine Physician, NPI 1063418218

MATTHEW HUDDLESTON (MD) is a healthcare provider. based in Middletown, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 039419 (CT). The NPI Number for MATTHEW HUDDLESTON (MD) is 1063418218

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW HUDDLESTON (MD)
NPI
1063418218
Phone
(860) 347-6971
Address
675 MAIN ST
Enumeration Date
22 June 2005
Last Update Date
6 December 2013

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
9638359300
Group Practice PAC ID
0547169138
Professional Enrollment ID
I20110212000021
Address ID
CT064570000MI19XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

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Provider Addresses for MATTHEW HUDDLESTON (MD)

  • 675, Main Street, Middletown, Middlesex County, Connecticut, 06457, United States

    MIDDLETOWN, CT 064572718

    Phone: (860) 347-6971

    Fax: (860) 343-7379

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-07-18 • Largest payer in this snapshot: Exact Sciences Corporation ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-02-12

PECOS data refreshed: 2026-05-27

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
I20110212000021IFamily PracticeCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06457)

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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: 0547169138View full group profile
NameSpecialtyState
Family PracticeCT
Nurse PractitionerMA
Mental Health CounselorCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Certified Nurse Midwife (Cnm)CT
Clinical PsychologistCT
Nurse PractitionerCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

How is MATTHEW HUDDLESTON (MD) identified in CMS data?
CMS-hosted NPPES data lists MATTHEW HUDDLESTON (MD) with NPI 1063418218.
Is MATTHEW HUDDLESTON (MD) still practicing?
MATTHEW HUDDLESTON (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes MATTHEW HUDDLESTON (MD)?
For research purposes, treat MATTHEW HUDDLESTON (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MATTHEW HUDDLESTON (MD) list a practice location?
Patients near Middletown, Connecticut may find MATTHEW HUDDLESTON (MD) in results; validate coverage separately.
Is the information about MATTHEW HUDDLESTON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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