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MATTHEW PATEL M.D.
NPI 1013995562
Emergency Medicine in Wilmington, OH

Active since January 05, 2006PECOS Enrolled
610 W MAIN ST, WILMINGTON, OH 45177(937) 383-1040(937) 383-1380 Get Directions Write a Review

NPPES record last updated: July 21, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Patel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW PATEL M.D. (NPI 1013995562) is an individual emergency medicine provider in Wilmington, Ohio, licensed in Ohio (35069630) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013995562
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW PATELCredential: M.D.
Location Address610 W MAIN STWilmington, OH 45177-2125
Mailing AddressPo Box 931267Cleveland, OH 44193-1484 · (440) 777-6017
Phone(937) 383-1040
Fax(937) 383-1380
Sole ProprietorNo
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJuly 21, 2009
✔ NPI 1013995562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35069630
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
610 W MAIN ST, Wilmington, OH 45177
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Other Identifiers 5

Medicaid0310809OH
Medicare PIN0808663OH
Medicare UPING35895OH
Medicare PIN0808661OH
Medicare PIN0808662OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Qualified Emergency Specialists Inc
30 mi
Emergency Medicine
10500 MONTGOMERY RD
Montgomery, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 119 clinicians in this Medicare group
NPI 1700872728 (513) 865-1307
Talawanda Emergency Physicians, Inc.
48 mi
Emergency Medicine
110 N POPLAR ST
Oxford, OH 45056
  • Reassigned Medicare billing, Ohio enrollment
  • 21 clinicians in this Medicare group
NPI 1265416804 (513) 524-5353

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
119 services106 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
69 services66 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
55 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45177 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAMBOO SHARK EMERGENCY PHYSICIANS LLC
Emergency Medicine
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (469) 401-2386
RCHP-WILMINGTON, LLC
General Acute Care Hospital
610 W MAIN ST, ATTN: FACILITY CEO
WILMINGTON, OH 45177
Clinton County (937) 382-6611
RCHP-WILMINGTON, LLC
Emergency Medicine
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 283-9845
BANDED KILLIFISH INPATIENT SERVICES LLC
Internal Medicine
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (469) 401-2386
DR. DUSTIN G LEWIS PHARMD, RPH
Pharmacist
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 283-9725
EMERGENCY PHYSICIAN ASSOCIATES OF OHIO, INC
Emergency Medicine
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 382-6611
WALTER W. TIMPERMAN JR. M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
610 W MAIN ST, CLINTON CO. MEMORIAL HOSPITAL PATH DEPT
WILMINGTON, OH 45177
Clinton County (937) 382-9262
CLINTON MEMORIAL HOSPITAL
Skilled Nursing Facility
610 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 382-6611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Patel's NPI number?

The NPI number for Matthew Patel is 1013995562. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Matthew Patel located?

Matthew Patel practices at 610 W Main St, Wilmington, OH 45177. The listed phone number is (937) 383-1040.

What is Matthew Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Patel enrolled in Medicare?

Yes. Matthew Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Patel reassigns Medicare benefits to 2 organizations: Qualified Emergency Specialists Inc (Montgomery, OH) and Talawanda Emergency Physicians, Inc. (Oxford, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Patel was last updated on July 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.