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MR. MATTHEW SCOTT BABISH PA-C
NPI 1225368483
Physician Assistant in Burlington, NC

Active since January 11, 2010PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
1111 HUFFMAN MILL RD, BURLINGTON, NC 27215(336) 584-5544 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Matthew Scott Babish Pa-c NPPES

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

MR. MATTHEW SCOTT BABISH PA-C (NPI 1225368483) is an individual physician assistant in Burlington, North Carolina, licensed in North Carolina (0010-03472) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with North Carolina Specialty Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2007).

NPPES Registry Identity

NPI1225368483
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MATTHEW SCOTT BABISHCredential: PA-C
Location Address1111 HUFFMAN MILL RDBurlington, NC 27215-8862
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255
Phone(336) 584-5544
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2007
Enumeration DateJanuary 11, 2010
Last NPPES UpdateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1225368483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-03472
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 0110003211 (VA), 0010-03472 (NC)
1111 HUFFMAN MILL RD, Burlington, NC 27215
Open in Google Maps ↗

Other Identifiers 2

Other0010-03472NC · Nc Medical Board
Other0110003211VA · Virginia License

Accepted Insurance

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

Mr. Matthew Scott Babish Pa-c 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 ID3779625140
PECOS Enrollment IDI20120814000187
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
116 services15 patients
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.
91 services73 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.
30 services29 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
27 services23 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
22 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Specialty Hospital

Acute Care Hospitals · Durham, NC
OwnershipProprietary
CMS Certification Number340049
Location3916 Ben Franklin BoulevardDurham, NC 27704 · Durham County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27215 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Other Providers at the Same Location NPPES 20

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

ANDREW THOMAS IRONS PA-C
Physician Assistant
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 584-5544
MALIK D'MAR MILLER PT, DPT
Physical Therapist
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 584-5544
DEITRA LETRICE WILLIAMS-TOONE MD
Pain Medicine (Pain Medicine)
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 584-5544
LAQUESTIS NICOLE SCOTT OT
Occupational Therapist
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 584-5544
DR. NATHAN CHRISTIE M.D.
Pain Medicine (Pain Medicine)
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (919) 220-5255
JAMES RONALD BOWERS MD
Orthopaedic Surgery
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 584-5544
AMANDA ASSUNTA FERRI
Physician Assistant
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 584-5544
CHRISTOPHER B BYRD DPT
Physical Therapist
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (919) 220-5255

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 Babish's NPI number?

The NPI number for Matthew Babish is 1225368483. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Where is Matthew Babish located?

Matthew Babish practices at 1111 Huffman Mill Rd, Burlington, NC 27215. The listed phone number is (336) 584-5544.

What is Matthew Babish's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Babish enrolled in Medicare?

Yes. Matthew Babish 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 Babish accept?

Health plans from Blue Cross and Blue Shield of NC list Matthew Babish 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 Babish affiliated with any hospitals?

According to CMS data, Matthew Babish is affiliated with North Carolina Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Babish was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.