MATTHEW JAMES FRANKLIN MD
NPI 1023540556
Dermatology in Gahanna, OH

Q: What is Matthew Franklin's NPI number?

The NPI number for Matthew Franklin is 1023540556. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Matthew Franklin's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Franklin was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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: October 25, 2026.

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

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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

Phone(614) 454-4808

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Matthew Franklin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation

5.3 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

85 MCNAUGHTEN RD STE 110
Columbus, OH 43213

Reassigned Medicare billing, Ohio enrollment
3,314 clinicians in this Medicare group

NPI 1265627301 (614) 856-9100

Oakview Dermatology

66 mi

Dermatology

2111 E STATE ST
Athens, OH 45701

Reassigned Medicare billing, Ohio and South Carolina enrollments
20 clinicians in this Medicare group

NPI 1063671063 (740) 566-4621

Monarch Dermatology & Surgery LLC

1,074 mi

Dermatology

1405 S 8TH AVE STE 102
Sterling, CO 80751

Reassigned Medicare billing, Colorado enrollment
4 clinicians in this Medicare group

NPI 1568062206 (970) 800-9330

Altitude Dermatology PC

1,167 mi

Dermatology

4795 LARIMER PKWY STE 150
Johnstown, CO 80534

Reassigned Medicare billing, Colorado enrollment
5 clinicians in this Medicare group

NPI 1821856303 (970) 342-2222

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 12

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.

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

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

18 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services13 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

12 services11 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

11 services11 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

Quality

96.11

Promoting Interoperability

100

Improvement Activities

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.

BRIDGET STAUFFER PA-C

Physician Assistant

5175 MORSE RD STE 100
GAHANNA, OH 43230

Franklin County (614) 454-4808

DR. MEGAN ASHLEY JONES-SHEETS D.O.

Dermatology

5175 MORSE RD STE 100
GAHANNA, OH 43230

Franklin County (740) 566-4621

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 Franklin's NPI number?

The NPI number for Matthew Franklin is 1023540556. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Matthew Franklin located?

Matthew Franklin practices at 5175 Morse Rd Ste 100, Gahanna, OH 43230. The listed phone number is (614) 454-4808.

What is Matthew Franklin's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Matthew Franklin enrolled in Medicare?

Yes. Matthew Franklin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Matthew Franklin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Franklin reassigns Medicare benefits to 4 organizations: Ohiohealth Corporation (Columbus, OH), Oakview Dermatology (Athens, OH), Monarch Dermatology & Surgery LLC (Sterling, CO) and Altitude Dermatology PC (Johnstown, CO). 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 Franklin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Franklin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and BlueCross BlueShield of South Carolina and 3 other insurers list Matthew Franklin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Franklin was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.