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DR. MATTHEW JOHN PRIHODA M.D.
NPI 1184663684
Family Medicine in Washington, IA

Active since June 06, 2006PECOS Enrolled
1230 S IOWA AVE, WASHINGTON, IA 52353(319) 653-7291(319) 653-7440 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Matthew John Prihoda M.d. NPPES

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

DR. MATTHEW JOHN PRIHODA M.D. (NPI 1184663684) is an individual family medicine provider in Washington, Iowa, licensed in Iowa (26680) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184663684
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW JOHN PRIHODACredential: M.D.
Location Address1230 S IOWA AVEWashington, IA 52353-1144
Mailing AddressPo Box 909Washington, IA 52353-0909 · (319) 653-7291 · Fax (319) 653-7440
Phone(319) 653-7291
Fax(319) 653-7440
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 6, 2014
✔ NPI 1184663684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 26680
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.
1230 S IOWA AVE, Washington, IA 52353
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew John Prihoda M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Matthew Prihoda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Washington County Hospital
0.1 mi
Rural Health
1230 S IOWA AVE
Washington, IA 52353
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1215539952 (Iowa)
  • 86 clinicians in this Medicare group
NPI 1669802955 (319) 653-7291

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52353 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers66 claims134 services$5.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers19 claims22 services$0.98 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier11 claims330 services$4.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers12 claims12 services$100.76 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers12 claims32 services$38.10 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers19 claims113 services$15.33 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 7

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

DR. RYAN ANDREW FLANNERY M.D.
Family Medicine
1230 S IOWA AVE
WASHINGTON, IA 52353
Washington County (319) 653-7291
DR. GEORGE DAVID NACOS M.D.
Family Medicine
1230 S IOWA AVE
WASHINGTON, IA 52353
Washington County (319) 653-7291
TYLER AMNIE BAYLISS MSN, RN, FNP-C
Nurse Practitioner (Family)
1230 S IOWA AVE
WASHINGTON, IA 52353
Washington County (319) 653-7291
AMANDA C KLEESE ARNP
Nurse Practitioner
1230 S IOWA AVE
WASHINGTON, IA 52353
Washington County (319) 653-7291
WASHINGTON COUNTY HOSPITAL
Clinic/Center (Rural Health)
1230 S IOWA AVE
WASHINGTON, IA 52353
Washington County (319) 653-7291
DR. TREVOR R. MARTIN D.O.
Family Medicine
1230 S IOWA AVE
WASHINGTON, IA 52353
Washington County (319) 653-7291
DEBBIE L GIBBS M.D.
Family Medicine
1230 S IOWA AVE
WASHINGTON, IA 52353
Washington County (319) 653-7291

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 Prihoda's NPI number?

The NPI number for Matthew Prihoda is 1184663684. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Matthew Prihoda located?

Matthew Prihoda practices at 1230 S Iowa Ave, Washington, IA 52353. The listed phone number is (319) 653-7291.

What is Matthew Prihoda's specialty?

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

Is Matthew Prihoda enrolled in Medicare?

Yes. Matthew Prihoda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Prihoda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Prihoda reassigns Medicare benefits to Washington County Hospital (Washington, IA). The 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 Prihoda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Prihoda accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Matthew Prihoda 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.

When was this NPI record last updated?

The NPPES record for Matthew Prihoda was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.