DR. MATTHEW J SPOUSTA DO
NPI 1033791074
Internal Medicine in Indianapolis, IN

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment
2001 W 86TH ST, INDIANAPOLIS, IN 46260(317) 338-2345 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Apr 28, 2021 (2 updates tracked since 2021).

About Dr. Matthew J Spousta Do NPPES

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

DR. MATTHEW J SPOUSTA DO (NPI 1033791074) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (02007713A) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033791074
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MATTHEW J SPOUSTACredential: DO
Location Address2001 W 86TH STIndianapolis, IN 46260-1902
Mailing Address2001 W 86th StIndianapolis, IN 46260-1902
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 28, 2021
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
NPI 1033791074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 02007713A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2001 W 86TH ST, Indianapolis, IN 46260

Secondary Practice Locations 2

Location 15900 Byron Center Ave SWWyoming, MI 49519-9686 · Phone (616) 252-7200 · Fax (616) 252-4953
Location 28050 Township Line RdIndianapolis, IN 46260-2478 · Phone (317) 415-8500

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

Dr. Matthew J Spousta Do 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 ID6901208289
PECOS Enrollment IDI20240518000168
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 4

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.

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.
182 services71 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Student in an Organized Health Care Education/Training Program
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Emergency Medicine
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Emergency Medicine
2001 W 86TH ST
INDIANAPOLIS, IN 46260
General Acute Care Hospital
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Student in an Organized Health Care Education/Training Program
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Pediatrics
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Nurse Practitioner
2001 W 86TH ST
INDIANAPOLIS, IN 46260

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 Spousta's NPI number?

The NPI number for Matthew Spousta is 1033791074. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Matthew Spousta located?

Matthew Spousta practices at 2001 W 86th St, Indianapolis, IN 46260. The listed phone number is (317) 338-2345.

What is Matthew Spousta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Matthew Spousta enrolled in Medicare?

Yes. Matthew Spousta 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 Spousta accept?

Health plans from CareSource list Matthew Spousta 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 Spousta affiliated with any hospitals?

According to CMS data, Matthew Spousta is affiliated with Ascension St Vincent Kokomo and Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Spousta was last updated on June 24, 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.