MATTHEW LAWRENCE D'JOHN M.D.
NPI 1033404934
Orthopaedic Surgery in Rochester Hills, MI

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
1555 SOUTH BLVD E, STE 310, ROCHESTER HILLS, MI 48307(248) 215-8080(248) 215-8095 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2020, Mar 13, 2019, Sep 19, 2017 and 1 more (4 updates tracked since 2016).

About Matthew Lawrence D'john M.d. NPPES

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

MATTHEW LAWRENCE D'JOHN M.D. (NPI 1033404934) is an individual orthopaedic surgery provider in Rochester Hills, Michigan, licensed in Michigan (4301098826) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Michigan State University College Of Human Medicine (2011).

NPPES Registry Identity

NPI1033404934
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMATTHEW LAWRENCE D'JOHNCredential: M.D.
Location Address1555 SOUTH BLVD E, STE 310Rochester Hills, MI 48307-5624
Mailing Address1555 South Blvd E, Ste 310Rochester Hills, MI 48307-5624 · (248) 215-8080 · Fax (248) 289-6907
Fax(248) 215-8095
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2011
Enumeration DateJune 20, 2011
Last NPPES UpdateDecember 3, 20204 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
NPI 1033404934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4301098826
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1555 SOUTH BLVD E, Rochester Hills, MI 48307

Other Identifiers 1

Other452643882MI · Commercial

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Lawrence D'john M.d. 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 ID5890927800
PECOS Enrollment IDI20170920000629
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 8

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.

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.
100 services69 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
44 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 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.
41 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services26 patients
Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery
1555 SOUTH BLVD E, SUITE 310
ROCHESTER HILLS, MI 48307
Physician Assistant (Medical)
1555 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Physical Therapist
1555 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Nutritionist (Nutrition, Education)
1555 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1555 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Physician Assistant (Surgical)
1555 SOUTH BLVD E, SUITE 310
ROCHESTER HILLS, MI 48307
Physical Therapist
1555 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
General Acute Care Hospital
1555 SOUTH BLVD E
ROCHESTER HILLS, MI 48307

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 D'john's NPI number?

The NPI number for Matthew D'john is 1033404934. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Matthew D'john located?

Matthew D'john practices at 1555 South Blvd E Ste 310, Rochester Hills, MI 48307. The listed phone number is (248) 215-8080.

What is Matthew D'john's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matthew D'john enrolled in Medicare?

Yes. Matthew D'john 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.

What insurance does Matthew D'john accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Matthew D'john 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.

Is Matthew D'john affiliated with any hospitals?

According to CMS data, Matthew D'john is affiliated with Mclaren Bay Region and Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew D'john was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.