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DR. MATTHEW MCHUGH M.D.
NPI 1053459958
Family Medicine in Columbus, OH

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
1250 DEARBORN DRIVE, COLUMBUS, OH 43085(614) 840-3500(614) 840-3510 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Matthew Mchugh M.d. NPPES

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

DR. MATTHEW MCHUGH M.D. (NPI 1053459958) is an individual family medicine provider in Columbus, Ohio, licensed in Ohio (35063833) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Ohio State University College Of Medicine (1991).

NPPES Registry Identity

NPI1053459958
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW MCHUGHCredential: M.D.
Location Address1250 DEARBORN DRIVEColumbus, OH 43085
Mailing Address1250 Dearborn DriveColumbus, OH 43085 · (614) 840-3500 · Fax (614) 840-3051
Phone(614) 840-3500
Fax(614) 840-3510
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1991
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1053459958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35063833
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1250 DEARBORN DRIVE, Columbus, OH 43085
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF40738OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.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 Mchugh 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 ID7315036589
PECOS Enrollment IDI20071211000490
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

2

Medicare enrollment records show Matthew Mchugh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Worthington Industries Medical Center, Inc.
Same address
Family Medicine
1250 DEARBORN DR
Columbus, OH 43085
  • Reassigned Medicare billing, Ohio enrollment
  • 4 clinicians in this Medicare group
NPI 1780875070 (614) 840-3500
Ohiohealth Corporation
6.0 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772

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 5

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.
71 services32 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
57 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 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.
19 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43085 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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 Mchugh's NPI number?

The NPI number for Matthew Mchugh is 1053459958. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Matthew Mchugh located?

Matthew Mchugh practices at 1250 Dearborn Drive, Columbus, OH 43085. The listed phone number is (614) 840-3500.

What is Matthew Mchugh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Mchugh enrolled in Medicare?

Yes. Matthew Mchugh 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 Mchugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mchugh reassigns Medicare benefits to 2 organizations: Worthington Industries Medical Center, Inc. (Columbus, OH) and Ohiohealth Corporation (Columbus, OH). 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 Mchugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Mchugh accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Matthew Mchugh 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 Mchugh affiliated with any hospitals?

According to CMS data, Matthew Mchugh is affiliated with Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Mchugh was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.