DR. MATTHEW DOMINIC VITALE (D.O.) – Emergency Medicine Physician, NPI 1184074155

DR. MATTHEW DOMINIC VITALE (D.O.) is a healthcare provider. based in Grosse pointe farms, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101022649 (MI). The NPI Number for DR. MATTHEW DOMINIC VITALE (D.O.) is 1184074155

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW DOMINIC VITALE (D.O.)
NPI
1184074155
Phone
(586) 690-0039
Address
467 MCKINLEY AVE
Enumeration Date
20 June 2016
Last Update Date
20 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2016 (10 years ago)
PAC ID
8123310810
Group Practice PAC ID
2769719236
Professional Enrollment ID
I20200331002507
Address ID
MI490852112SA1234XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. MATTHEW DOMINIC VITALE (D.O.)

  • 467, McKinley Avenue, Grosse Pointe Farms, Wayne County, Michigan, 48236, United States

    GROSSE POINTE FARMS, MI 482363241

    Phone: (586) 690-0039

    Type: Mailing

  • McLaren Macomb, 1000, Harrington Street, Mount Clemens, Clinton Township, Macomb County, Michigan, 48043, United States

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 493-8000

    Type: Location

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 $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Pinnacle, Inc ($50).

Total Amount

$50

General + Research + Ownership

Payments

1

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Pinnacle, Inc$50
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: 2025-01-03

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
I20200331002507IEmergency MedicineMITBD
I20250103001259IEmergency MedicineINTBD

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 making225186$0
99284Emergency department visit with moderate level of medical decision making125124$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9877$0
99283Emergency department visit with low level of medical decision making2525$0
99291Critical care, first 30-74 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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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: 2769719236View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicinePA
Emergency MedicineMI
Nurse PractitionerOH
Emergency MedicineMI
-MI

Reviews

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Frequently asked questions

What number should I use to identify DR. MATTHEW DOMINIC VITALE (D.O.) for billing?
Administrative and clinical systems typically use NPI 1184074155 for DR. MATTHEW DOMINIC VITALE (D.O.).
Is DR. MATTHEW DOMINIC VITALE (D.O.)'s NPI status active today?
Active status means DR. MATTHEW DOMINIC VITALE (D.O.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. MATTHEW DOMINIC VITALE (D.O.)?
NPPES ties DR. MATTHEW DOMINIC VITALE (D.O.) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MATTHEW DOMINIC VITALE (D.O.)?
The directory associates DR. MATTHEW DOMINIC VITALE (D.O.) with Grosse Pointe Farms, Michigan. Check all listed addresses for suites or satellite offices.
Can I export DR. MATTHEW DOMINIC VITALE (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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