MATTHEW PROUDFOOT (D.O.) – Anesthesiology Physician, NPI 1750339610

MATTHEW PROUDFOOT (D.O.) is a healthcare provider. based in Rochester hills, Michigan. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101011974 (MI). The NPI Number for MATTHEW PROUDFOOT (D.O.) is 1750339610

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW PROUDFOOT (D.O.)
NPI
1750339610
Phone
Not provided
Address
1801 JASON CIR
Enumeration Date
4 May 2006
Last Update Date
12 March 2008

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5125931945
Graduation Year
1993 (33 years ago)
PAC ID
1658369699
Group Practice PAC ID
3678987534
Professional Enrollment ID
I20051121000156
Address ID
MI484508324LE7276XAVEX300
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

1,716 ANESTHESIOLOGY in MI

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Provider Addresses for MATTHEW PROUDFOOT (D.O.)

  • 1801, Jason Circle, Oxford Estates, Rochester Hills, Oakland County, Michigan, 48306, United States

    ROCHESTER HILLS, MI 483063639

    Phone:

    Type: Mailing

  • 18181, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States

    SUITE 206

    DEARBORN, MI 481245032

    Phone: (313) 593-1573

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Janssen Biotech, Inc. ($144).

Total Amount

$204

General + Research + Ownership

Payments

8

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

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: 2005-11-21

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
I20051121000156IAnesthesiologyMITBD

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
00142Anesthesia for lens surgery137129$0
00811Anesthesia for other procedure on large bowel using an endoscope2424$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1816$0
00813Anesthesia for procedure on small and large bowel using an endoscope1615$0
View full utilization report →

Insurance plans in this area (ZIP 48306)

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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: 3678987534View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)HI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

How is MATTHEW PROUDFOOT (D.O.) identified in CMS data?
CMS-hosted NPPES data lists MATTHEW PROUDFOOT (D.O.) with NPI 1750339610.
Does the file indicate MATTHEW PROUDFOOT (D.O.) is practicing under active NPI?
Directory data currently reports MATTHEW PROUDFOOT (D.O.) as active.
What is MATTHEW PROUDFOOT (D.O.) best known for clinically?
Directory data describes MATTHEW PROUDFOOT (D.O.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What area does MATTHEW PROUDFOOT (D.O.) serve?
MATTHEW PROUDFOOT (D.O.)'s listing highlights Rochester Hills, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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