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DR. MATTHEW JULIAN WIDEROFF M.D.
NPI 1134448129
Surgery in Palm Coast, FL

Active since May 31, 2010PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
61 MEMORIAL MEDICAL PKWY STE 3805, PALM COAST, FL 32164(386) 586-1605(386) 586-1607 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2024, Aug 16, 2018 (2 updates tracked since 2018).

About Dr. Matthew Julian Wideroff M.d. NPPES

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

DR. MATTHEW JULIAN WIDEROFF M.D. (NPI 1134448129) is an individual surgery provider in Palm Coast, Florida, licensed in Florida (ME167382) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Flagler, and maintains a secondary practice location in Rapid City.

NPPES Registry Identity

NPI1134448129
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MATTHEW JULIAN WIDEROFFCredential: M.D.
Location Address61 MEMORIAL MEDICAL PKWY STE 3805Palm Coast, FL 32164-5982
Mailing AddressPo Box 935921Atlanta, GA 31193-5921
Phone(386) 586-1605
Fax(386) 586-1607
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2010
Enumeration DateMay 31, 2010
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1134448129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in FL · ME167382✔ Licensed in SD · 9934
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
61 MEMORIAL MEDICAL PKWY STE 3805, Palm Coast, FL 32164
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Secondary Practice Location 1

Location 12805 5th StRapid City, SD 57701 · Phone (605) 755-5700 · Fax (605) 755-5701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and more.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 Julian Wideroff 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 ID8820238934
PECOS Enrollment IDI20240611004733
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 Wideroff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Healthcare Partners, Inc
17 mi
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
NPI 1780100529 (386) 231-6000
Monument Health Rapid City Hospital, Inc.
1,530 mi
Family Medicine
112 7TH AVENUE
Wall, SD 57790
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
NPI 1265811285 (605) 279-2149

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 6

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services51 patients
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.
49 services23 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.
33 services33 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.
23 services23 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.
16 services13 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
2 suppliers17 claims300 services$9.29 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers28 claims975 services$0.18 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
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLIE KILPATRICK BATTILLO FNP-C, ARNP
Nurse Practitioner (Family)
61 MEMORIAL MEDICAL PKWY STE 3805
PALM COAST, FL 32164
Flagler County (386) 586-1605

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 Wideroff's NPI number?

The NPI number for Matthew Wideroff is 1134448129. It was assigned to this individual provider in the NPPES registry on May 31, 2010.

Where is Matthew Wideroff located?

Matthew Wideroff practices at 61 Memorial Medical Pkwy Ste 3805, Palm Coast, FL 32164. The listed phone number is (386) 586-1605.

What is Matthew Wideroff's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Wideroff enrolled in Medicare?

Yes. Matthew Wideroff 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 Wideroff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wideroff reassigns Medicare benefits to 2 organizations: Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL) and Monument Health Rapid City Hospital, Inc. (Wall, SD). 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 Wideroff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Wideroff accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 1 other insurer list Matthew Wideroff 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 Wideroff affiliated with any hospitals?

According to CMS data, Matthew Wideroff is affiliated with Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Matthew Wideroff was last updated on August 7, 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.