MATTHEW WIDMER (D.O.) – Family Medicine Physician, NPI 1174866164

MATTHEW WIDMER (D.O.) is a healthcare provider. based in Sandusky, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 34-011496 (OH). The NPI Number for MATTHEW WIDMER (D.O.) is 1174866164

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW WIDMER (D.O.)
NPI
1174866164
Phone
(419) 557-5541
Address
1031 PIERCE ST
Enumeration Date
28 March 2013
Last Update Date
18 June 2018

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
4195470700
Graduation Year
2013 (13 years ago)
PAC ID
7719201565
Group Practice PAC ID
6305810201
Professional Enrollment ID
I20150127000278
Address ID
OH434101010CL1470WHWYX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for MATTHEW WIDMER (D.O.)

  • 1031 PIERCE ST

    SANDUSKY, OH 448704669

    Phone: (419) 557-5541

    Fax: (419) 557-5542

    Type: Mailing

  • 3960 E HARBOR RD

    PORT CLINTON, OH 43452

    Phone: (419) 732-0700

    Fax: (419) 732-0702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $584.

Total Amount is formed as General ($584) + Research ($0) + Ownership ($0) = $584.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: ABBVIE INC. ($421).

Total Amount

$584

General + Research + Ownership

Payments

34

Total payment records

General Amount

$584

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

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: 2015-01-27

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
I20150127000278IFamily PracticeOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes207126$0
99214Established patient office or other outpatient visit, 30-39 minutes162124$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit159159$0
83036Hemoglobin a1c level9058$0
J1040Injection, methylprednisolone acetate, 80 mg7342$0
View full utilization report →

Insurance plans in this area (ZIP 44870)

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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: 6305810201View full group profile
NameSpecialtyState
Internal MedicineLA
Nurse PractitionerOH
General PracticeOH
Vascular SurgeryOH
P S Y C H I A T R YOH
Internal MedicineOH
Cardiovascular Disease (Cardiology)NV
Nurse PractitionerOH
Family PracticeOH
N E U R O S U R G E R YMI

Reviews

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Frequently asked questions

What federal number belongs to MATTHEW WIDMER (D.O.)?
The federal identifier for MATTHEW WIDMER (D.O.) is NPI 1174866164.
Is MATTHEW WIDMER (D.O.) currently active in the NPI registry?
CMS-published data lists MATTHEW WIDMER (D.O.) as an active registrant.
What kind of provider is MATTHEW WIDMER (D.O.)?
The page reflects Family Medicine Physician for MATTHEW WIDMER (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for MATTHEW WIDMER (D.O.)?
We surface Sandusky, Ohio for MATTHEW WIDMER (D.O.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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