MICHAEL MATTHEWS – Internal Medicine Physician, NPI 1750840864
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
7,201 INTERNAL MEDICINE in OH
Provider Addresses for MICHAEL MATTHEWS
405 W GRAND AVE
DAYTON, OH 454057538
Phone: (937) 723-3200
Type: Location
Saint Lucie Medical Center, 1800, Southeast Tiffany Avenue, Port St. Lucie, St. Lucie County, Florida, 34952, United States
PORT ST LUCIE, FL 349527521
Phone: (772) 398-3623
Type: Location
7367, Wyandot Lane, Bethany, Liberty Township, Butler County, Ohio, 45044, United States
LIBERTY TOWNSHIP, OH 450449238
Phone: (513) 207-2699
Type: Mailing
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
451 JUNCTION RD
MADISON, WI 537172656
Phone: (608) 265-1600
Fax: (608) 265-7642
Type: Location
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: 2024-08-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240814003914 | I | Internal Medicine | WI | TBD |
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.
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 45405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Endocrinology, Internal Medicine | WI | |
| Medical Oncology, Hematology/Oncology | CA |
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