DR. MATTHEW J SPOUSTA DO
NPI 1033791074
Internal Medicine in Indianapolis, IN
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Spousta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
- 510 clinicians in this Medicare group
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 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.
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, INAscension St Vincent Hospital
Acute Care Hospitals · Indianapolis, INPhysician 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.
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.
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.
Which organization bills Medicare for Matthew Spousta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Spousta reassigns Medicare benefits to St Vincent Physician Services Hospital And Health Care Center (Indianapolis, IN). The 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 Spousta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Matthew J Spousta, DO · NPI 1033791074
Internal Medicine physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since April 28, 2021.
## Identity
- **NPI:** 1033791074 (Entity type: Individual)
- **Enumerated:** April 28, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 02007713A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 W 86TH ST, Indianapolis, IN 46260-1902
- **Phone:** (317) 338-2345
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Vincent Physician Services Hospital And Health Care Center (NPI 1669422234, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Marian University College Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** June 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033791074) · Data from the CMS NPPES public registry.