MATTHEW JAMES FRANKLIN MD
NPI 1023540556
Dermatology in Gahanna, OH

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
97.86/100
CMS Quality Rating
5175 MORSE RD STE 100, GAHANNA, OH 43230(614) 454-4808(614) 454-4809 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2024, Dec 12, 2022, Oct 3, 2022 (3 updates tracked since 2022).

About Matthew James Franklin Md NPPES

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

MATTHEW JAMES FRANKLIN MD (NPI 1023540556) is an individual dermatology provider in Gahanna, Ohio, licensed in Ohio (35.142674) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Pennsylvania State University College Of Medicine (2017).

NPPES Registry Identity

NPI1023540556
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMATTHEW JAMES FRANKLINCredential: MD
Location Address5175 MORSE RD STE 100Gahanna, OH 43230-3458
Mailing Address5175 Morse Rd Ste 100Gahanna, OH 43230-3458 · (614) 454-4808 · Fax (740) 454-4809
Fax(614) 454-4809
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1023540556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OH · 35.142674
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 35142674 (OH)
5175 MORSE RD STE 100, Gahanna, OH 43230

Secondary Practice Location 1

Location 13595 Olentangy River RdColumbus, OH 43214-3440 · Phone (614) 566-5456 · Fax (614) 566-6902

Other Identifiers 1

Medicaid0298846OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew James Franklin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254688872
PECOS Enrollment IDI20220629002937, I20230103000870, I20251211001763
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
2,382 services1,578 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
125 services113 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
121 services53 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
87 services68 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
84 services76 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43230 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.11
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Dermatology
5175 MORSE RD STE 100
GAHANNA, OH 43230
Physician Assistant
5175 MORSE RD STE 100
GAHANNA, OH 43230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023540556, enumerated as an "individual" on April 03, 2017.

The provider is located at 5175 MORSE RD STE 100 GAHANNA, OH 43230 and the phone number is (614) 454-4808.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina,. Please consult your insurance carrier or call the provider to verify.