DR. MATTHEW C BIRDWHISTELL D.O.
NPI 1043457757
Internal Medicine in Georgetown, KY

Q: What is Matthew Birdwhistell's NPI number?

The NPI number for Matthew Birdwhistell is 1043457757. It was assigned to this individual provider in the NPPES registry on January 16, 2009.

Q: What is Matthew Birdwhistell's specialty?

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

Active since January 16, 2009PECOS EnrolledAccepts Medicare Assignment

80.89/100

CMS Quality Rating

1138 LEXINGTON RD, SUITE 290, GEORGETOWN, KY 40324(502) 863-0721(502) 863-6104 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Matthew C Birdwhistell D.o. NPPES

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

DR. MATTHEW C BIRDWHISTELL D.O. (NPI 1043457757) is an individual internal medicine provider in Georgetown, Kentucky, licensed in Kentucky (03293) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Georgetown Community Hospital, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2008).

NPPES Registry Identity

NPI1043457757

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MATTHEW C BIRDWHISTELLCredential: D.O.

Location Address1138 LEXINGTON RD, SUITE 290Georgetown, KY 40324-9672

Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203

Phone(502) 863-0721

Fax(502) 863-6104

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2008

Enumeration DateJanuary 16, 2009

Last NPPES UpdateAugust 28, 2023

NPPES CertifiedAugust 28, 2023

✔ NPI 1043457757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 03293

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.

1138 LEXINGTON RD, Georgetown, KY 40324

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Other Identifiers 2

Medicaid7100160510KY

Other03293KY · License

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 C Birdwhistell D.o. 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 ID143407742

PECOS Enrollment IDI20110608000384

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 7

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 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.

414 services188 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.

371 services171 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

168 services168 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

81 services81 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

65 services31 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

36 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY

OwnershipProprietary

CMS Certification Number180101

Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180143

Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40324 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

80.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.29

Promoting Interoperability

100

Improvement Activities

Cost

Reported Quality Measures

e-Prescribing

99%3,490 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

64%722 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers42 claims96 services$5.77 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers14 claims14 services$15.72 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers19 claims77 services$2.22 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier13 claims13 services$38.35 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers72 claims72 services$16.55 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier16 claims16 services$6.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TRACY ANNE ROBINSON PA-C

Physician Assistant

1138 LEXINGTON RD
GEORGETOWN, KY 40324

Scott County (502) 867-6744

RAYMOND WECHMAN JR. MD

Family Medicine

1138 LEXINGTON RD, STE 130
GEORGETOWN, KY 40324

Scott County (502) 867-0222

MATTHEW C BIRDWHISTELL DO LLC

Internal Medicine

1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324

Scott County (502) 863-0721

LEXINGTON FOOT & ANKLE CENTER PSC

Podiatrist (Foot & Ankle Surgery)

1138 LEXINGTON RD, SUITE 210
GEORGETOWN, KY 40324

Scott County (859) 278-8855

KENTUCKY MSO LLC

Internal Medicine (Gastroenterology)

1138 LEXINGTON RD, SUITE 140
GEORGETOWN, KY 40324

Scott County (502) 570-3721

ROBERT CRAIG MARTIN M.D.

Internal Medicine

1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324

Scott County (502) 863-0721

KRISTEN R STAKELIN M.D.

Internal Medicine

1138 LEXINGTON RD, STE 290
GEORGETOWN, KY 40324

Scott County (502) 863-0721

R. CRAIG MARTIN, M.D., P.S.C.

Internal Medicine

1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324

Scott County (502) 863-0721

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 Birdwhistell's NPI number?

The NPI number for Matthew Birdwhistell is 1043457757. It was assigned to this individual provider in the NPPES registry on January 16, 2009.

Where is Matthew Birdwhistell located?

Matthew Birdwhistell practices at 1138 Lexington Rd Suite 290, Georgetown, KY 40324. The listed phone number is (502) 863-0721.

What is Matthew Birdwhistell's specialty?

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

Is Matthew Birdwhistell enrolled in Medicare?

Yes. Matthew Birdwhistell 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.

Is Matthew Birdwhistell affiliated with any hospitals?

According to CMS data, Matthew Birdwhistell is affiliated with Georgetown Community Hospital, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Matthew Birdwhistell was last updated on August 28, 2023. 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.