MATTHEW LYLE NYHOLM M.D.
NPI 1134564743
Emergency Medicine in Dayton, OH

Q: What is Matthew Nyholm's NPI number?

The NPI number for Matthew Nyholm is 1134564743. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Q: What is Matthew Nyholm's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Nyholm was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since May 09, 2013PECOS EnrolledAccepts Medicare Assignment

2345 PHILADELPHIA DR, DAYTON, OH 45406(937) 734-4141 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Matthew Lyle Nyholm M.d. NPPES

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

MATTHEW LYLE NYHOLM M.D. (NPI 1134564743) is an individual emergency medicine provider in Dayton, Ohio, licensed in Ohio (35.126991) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and maintains a secondary practice location in Logan.

NPPES Registry Identity

NPI1134564743

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMATTHEW LYLE NYHOLMCredential: M.D.

Location Address2345 PHILADELPHIA DRDayton, OH 45406-1816

Mailing Address910 Watermill PlaceMarysville, OH 43040 · (734) 771-3491

Phone(937) 734-4141

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2013

Enumeration DateMay 9, 2013

Last NPPES UpdateApril 16, 2025

NPPES CertifiedApril 16, 2025

✔ NPI 1134564743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OH · 35.126991

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 35.126991 (OH)

2345 PHILADELPHIA DR, Dayton, OH 45406

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Secondary Practice Location 1

Location 1601 State Route 664 NLogan, OH 43138-8541 · Phone (740) 380-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Matthew Lyle Nyholm 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 ID4789812173

PECOS Enrollment IDI20240122004357

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

Medicare enrollment records show Matthew Nyholm reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Physicians Of Champaign County Ltd

24 mi

Emergency Medicine

100 MEDICAL CENTER DR
Springfield, OH 45504

Reassigned Medicare billing, Ohio enrollment
97 clinicians in this Medicare group

NPI 1285078220 (330) 493-4443

Emergency Professional Services, Inc.

69 mi

Emergency Medicine

230 MEDICAL CENTER DR
Seaman, OH 45679

Reassigned Medicare billing, Ohio enrollment
894 clinicians in this Medicare group

NPI 1093762353 (937) 386-3400

Fep Of Kentucky LLC

269 mi

Emergency Medicine

320 W 18TH ST
Hopkinsville, KY 42240

Reassigned Medicare billing, Kentucky enrollment
36 clinicians in this Medicare group

NPI 1770266553 (505) 287-4446

Ohio Emergency Care Services Inc

Reassigned Medicare billing, Ohio enrollment
179 clinicians in this Medicare group

No phone listed

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

358 services343 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

239 services232 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

46 services45 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

45 services45 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

35 services34 patients

Hospital Affiliations CMS Care Compare 4

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

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180051

Location320 West 18th StreetHopkinsville, KY 42240 · Christian County

Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360011

Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County

Emergency services Birthing friendly

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360086

Location100 Medical Center DriveSpringfield, OH 45504 · Clark County

Emergency services Birthing friendly

Mercy Health - Urbana Hospital

Critical Access Hospitals · Urbana, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number361312

Location904 Scioto StreetUrbana, OH 43078 · Champaign County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45406 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.

Other Providers at the Same Location NPPES 10

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

MRS. JANET ELAINE KAISER RN

Registered Nurse