MATTHEW DWIGHT GROUNDS (DO) – Emergency Medicine Physician, NPI 1104035062

MATTHEW DWIGHT GROUNDS (DO) is a healthcare provider. based in Joplin, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 2009010342 (MO). The NPI Number for MATTHEW DWIGHT GROUNDS (DO) is 1104035062

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW DWIGHT GROUNDS (DO)
NPI
1104035062
Phone
(417) 626-8287
Address
5644 W DIAMOND DR
Enumeration Date
21 May 2007
Last Update Date
12 January 2024

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
4173471111
Graduation Year
2007 (19 years ago)
PAC ID
0042358699
Group Practice PAC ID
8325942253
Professional Enrollment ID
I20091119000151
Address ID
MO648043503JO1102XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,354 EMERGENCY MEDICINE in MO

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Provider Addresses for MATTHEW DWIGHT GROUNDS (DO)

  • 5644 W DIAMOND DR

    JOPLIN, MO 648014667

    Phone: (417) 626-8287

    Fax: (417) 576-2544

    Type: Mailing

  • 1102, West 32nd Street, Joplin, Newton County, Missouri, 64804, United States

    JOPLIN, MO 648043503

    Phone: (417) 347-1111

    Type: Location

  • 113 W Hickory St

    Neosho, MO 648501705

    Phone: (417) 451-1234

    Type: Location

  • PO BOX 3810

    JOPLIN, MO 648033810

    Phone: (417) 347-4662

    Type: Mailing

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: 2009-11-19

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
I20091119000151IEmergency MedicineMOTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only347306$0
99285Emergency department visit with high level of medical decision making303289$0
99284Emergency department visit with moderate level of medical decision making110109$0
99291Critical care, first 30-74 minutes3636$0
99283Emergency department visit with low level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 64801)

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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: 8325942253View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
Nurse PractitionerKS
U R O L O G YMO
R H E U M A T O L O G YMO
Nurse PractitionerMO
H E M A T O L O G Y/ O N C O L O G YMO
-MO
Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists)MO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MATTHEW DWIGHT GROUNDS (DO)?
MATTHEW DWIGHT GROUNDS (DO) — NPI 1104035062 — is the standard way to identify this listing.
Can I rely on MATTHEW DWIGHT GROUNDS (DO) being an active provider?
As of the registry snapshot, MATTHEW DWIGHT GROUNDS (DO) is marked active.
What is MATTHEW DWIGHT GROUNDS (DO)'s primary classification?
Emergency Medicine Physician is the headline specialty for MATTHEW DWIGHT GROUNDS (DO) here. Clinical services aligned with this taxonomy classification.
Where is MATTHEW DWIGHT GROUNDS (DO) based?
MATTHEW DWIGHT GROUNDS (DO) is tied to Joplin, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about MATTHEW DWIGHT GROUNDS (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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