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MATTHEW STEVEN NIENBERG PA
NPI 1063661189
Physician Assistant in Fremont, OH

Active since September 12, 2008PECOS EnrolledAccepts Medicare Assignment
67.77/100
CMS Quality Rating
715 S TAFT AVE, FREMONT, OH 43420(419) 334-6639(419) 333-2793 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Steven Nienberg Pa NPPES

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

MATTHEW STEVEN NIENBERG PA (NPI 1063661189) is an individual physician assistant in Fremont, Ohio, licensed in Ohio (50.002810) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1063661189
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW STEVEN NIENBERGCredential: PA
Location Address715 S TAFT AVEFremont, OH 43420-3237
Mailing Address715 S Taft AveFremont, OH 43420-3237 · (419) 334-6661 · Fax (419) 334-6685
Phone(419) 334-6639
Fax(419) 333-2793
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 12, 2008
Last NPPES UpdateNovember 22, 2019
✔ NPI 1063661189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.002810
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
715 S TAFT AVE, Fremont, OH 43420
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Other Identifiers 1

Medicaid0071619OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Steven Nienberg Pa 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 ID42373094
PECOS Enrollment IDI20090116000426
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.
501 services204 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.
378 services182 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.
344 services139 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.
293 services139 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.
49 services49 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361322
Location139 Garau StreetBluffton, OH 45817 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43420 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

67.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.71
Promoting Interoperability85
Improvement Activities40
Cost58.37

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.

DR. DOROTA SYLWIA RYTWINSKI M.D.
Psychiatry & Neurology (Psychiatry)
715 S TAFT AVE, CENTER FOR MENTAL HEALTH AND WELL-BEING
FREMONT, OH 43420
Sandusky County (419) 334-6619
SUZANNE J LEWIS LISW
Social Worker (Clinical)
715 S TAFT AVE
FREMONT, OH 43420
Sandusky County (419) 334-6619
FREMONT EMERGENCY ASSOCIATES INC
Emergency Medicine
715 S TAFT AVE
FREMONT, OH 43420
Sandusky County (419) 332-7331
MS. KIMBERLY S HUTTON PT
Physical Therapist
715 S TAFT AVE
FREMONT, OH 43420
Sandusky County (419) 332-7321
FREMONT PHYSICIANS ASSOCIATION
Exclusive Provider Organization
715 S TAFT AVE
FREMONT, OH 43420
Sandusky County (419) 334-6661
MEMORIAL EMERGENCY SPECIALISTS INC.
Emergency Medicine
715 S TAFT AVE
FREMONT, OH 43420
Sandusky County (419) 332-7321
PULMONARY AND CRITICAL SPECIALISTS INC
Specialist
715 S TAFT AVE, SUITE 188
FREMONT, OH 43420
Sandusky County (419) 843-7800
DR. WILLIAM ESTES HOGAN JR. M.D.
Anesthesiology (Pain Medicine)
715 S TAFT AVE
FREMONT, OH 43420
Sandusky County (419) 334-6639

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 Nienberg's NPI number?

The NPI number for Matthew Nienberg is 1063661189. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Matthew Nienberg located?

Matthew Nienberg practices at 715 S Taft Ave, Fremont, OH 43420. The listed phone number is (419) 334-6639.

What is Matthew Nienberg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Nienberg enrolled in Medicare?

Yes. Matthew Nienberg 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 Nienberg accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Matthew Nienberg 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 Nienberg affiliated with any hospitals?

According to CMS data, Matthew Nienberg is affiliated with Lima Memorial Health System, Mercy Health-St Rita's Medical Center, Memorial Hospital, Magruder Hospital and Bluffton Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Nienberg was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.