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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW A. ESPOSITO M.D.
NPI 1215918396
Obstetrics & Gynecology - Maternal & Fetal Medicine in Providence, RI

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
101 PLAIN ST FL 6, PROVIDENCE, RI 02903(401) 274-1122 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 21, 2026, Jul 18, 2024, Feb 9, 2021 (3 updates tracked since 2021).

About Matthew A. Esposito M.d. NPPES

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

MATTHEW A. ESPOSITO M.D. (NPI 1215918396) is an individual maternal & fetal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD13165) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1994).

NPPES Registry Identity

NPI1215918396
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameMATTHEW A. ESPOSITOCredential: M.D.
Location Address101 PLAIN ST FL 6Providence, RI 02903-4829
Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 274-1122
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1994
Enumeration DateNovember 7, 2005
Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1215918396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in RI · MD13165✔ Licensed in MA · 209789
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
101 PLAIN ST FL 6, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122
Location 290 Plain StProvidence, RI 02903-4817 · Phone (401) 274-1122 ext. 47457 · Fax (401) 277-3694

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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 A. Esposito 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 ID9537245055
PECOS Enrollment IDI20100609000710
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 Esposito reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Physicians LLC
0.2 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122
Wih Faculty Physicians, Inc
16 mi
Gynecologic Oncology
373 NEW BOSTON RD STE 3
Fall River, MA 02720
  • Reassigned Medicare billing, Massachusetts enrollment
  • 26 clinicians in this Medicare group
NPI 1669590295 (508) 235-3500

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 02903 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

Other Providers at the Same Location NPPES 16

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

MS. CHRISTINA STANG LICSW
Social Worker (Clinical)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Providence County (401) 274-1122
DR. MELISSA LAUREN RUSSO M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Providence County (401) 274-1122
DR. METHODIUS G TUULI MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Providence County (401) 274-1122
DR. MARGARET MARIE THORSEN MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Providence County (401) 274-1122
MRS. JACQUELYN VERONICA HALLIDAY MS, CGC
Genetic Counselor, MS
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Providence County (401) 274-1122
TANYA LYNN BOOKER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Providence County (401) 274-1122
WILLIAM A GROBMAN MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Providence County (401) 274-1122
AVERY ZIERK MD
Pediatrics (Neonatal-Perinatal Medicine)
101 PLAIN ST FL 6
PROVIDENCE, RI 02903
Providence County (401) 274-1122

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 Esposito's NPI number?

The NPI number for Matthew Esposito is 1215918396. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Matthew Esposito located?

Matthew Esposito practices at 101 Plain St Fl 6, Providence, RI 02903. The listed phone number is (401) 274-1122.

What is Matthew Esposito's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Matthew Esposito enrolled in Medicare?

Yes. Matthew Esposito 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 Esposito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Esposito reassigns Medicare benefits to 2 organizations: Affinity Physicians LLC (Providence, RI) and Wih Faculty Physicians, Inc (Fall River, MA). 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 Esposito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Esposito accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Matthew Esposito 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 Esposito was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.