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MATTHEW MICHAEL FIORI FNP-BC
NPI 1164519963
Nurse Practitioner - Family in Jefferson City, MO

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
90.5/100
CMS Quality Rating
2505 MISSION DR STE 210, JEFFERSON CITY, MO 65109(573) 681-3187(573) 681-3645 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2020, Nov 1, 2017 (2 updates tracked since 2017).

About Matthew Michael Fiori Fnp-bc NPPES

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

MATTHEW MICHAEL FIORI FNP-BC (NPI 1164519963) is an individual family provider in Jefferson City, Missouri, licensed in Missouri (2002018021) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1164519963
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW MICHAEL FIORICredential: FNP-BC
Location Address2505 MISSION DR STE 210Jefferson City, MO 65109-9508
Mailing Address100 Saint Marys Medical PlzJefferson City, MO 65101-1602 · (573) 632-4325 · Fax (573) 659-2503
Phone(573) 681-3187
Fax(573) 681-3645
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 5, 2006
Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1164519963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2002018021
2505 MISSION DR STE 210, Jefferson City, MO 65109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 Michael Fiori Fnp-bc 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 ID3476505538
PECOS Enrollment IDI20050420000311
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 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.
141 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services44 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
40 services25 patients
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.
36 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.
36 services29 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.
36 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

90.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. GARY N BASKETT DO
Family Medicine
2505 MISSION DR STE 210, WOUNDS CENTER
JEFFERSON CITY, MO 65109
Cole County (573) 681-3187

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 Fiori's NPI number?

The NPI number for Matthew Fiori is 1164519963. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Matthew Fiori located?

Matthew Fiori practices at 2505 Mission Dr Ste 210, Jefferson City, MO 65109. The listed phone number is (573) 681-3187.

What is Matthew Fiori's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Fiori enrolled in Medicare?

Yes. Matthew Fiori 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 Fiori accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Matthew Fiori 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 Fiori affiliated with any hospitals?

According to CMS data, Matthew Fiori is affiliated with Ssm Health St Mary's Hospital Jefferson City and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Matthew Fiori was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.