MATTHEW BARTOW D.O.
NPI 1225482466
Family Medicine in West Lake Hills, TX

Q: What is Matthew Bartow's NPI number?

The NPI number for Matthew Bartow is 1225482466. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Q: What is Matthew Bartow's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Bartow was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment

72.52/100

CMS Quality Rating

701 S CAPITAL OF TEXAS HWY STE Q900, WEST LAKE HILLS, TX 78746(512) 324-6970(512) 324-6971 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 21, 2024, Nov 22, 2022, Jul 10, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Matthew Bartow D.o. NPPES

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

MATTHEW BARTOW D.O. (NPI 1225482466) is an individual family medicine provider in West Lake Hills, Texas, licensed in Texas (S5840) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225482466

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW BARTOWCredential: D.O.

Location Address701 S CAPITAL OF TEXAS HWY STE Q900West Lake Hills, TX 78746-5263

Mailing Address701 S Capital Of Texas Hwy Ste Q900West Lake Hills, TX 78746-5263 · (512) 324-6970 · Fax (512) 324-6971

Phone(512) 324-6970

Fax(512) 324-6971

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 13, 2016

Last NPPES UpdateJune 21, 20244 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1225482466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · S5840

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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License S5840 (TX)

701 S CAPITAL OF TEXAS HWY STE Q900, West Lake Hills, TX 78746

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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 Bartow D.o. 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 ID1759621337

PECOS Enrollment IDI20190318002021

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 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.

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.

166 services87 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.

62 services39 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

54 services54 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

18 services18 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78746 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

72.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.27

Promoting Interoperability

100

Improvement Activities

Cost

47.12

Reported Quality Measures

e-Prescribing

95%2,440 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

93%1,125 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

GABRIELLE DOMANIC-FERNANDEZ FNP-BC, RN

Nurse Practitioner (Family)

701 S CAPITAL OF TEXAS HWY STE Q900
WEST LAKE HILLS, TX 78746

Travis County (512) 324-6970

THE SETON COVE

Clinic/Center (Urgent Care)

701 S CAPITAL OF TEXAS HWY STE Q900
WEST LAKE HILLS, TX 78746

Travis County (512) 324-6970

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 Bartow's NPI number?

The NPI number for Matthew Bartow is 1225482466. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Matthew Bartow located?

Matthew Bartow practices at 701 S Capital Of Texas Hwy Ste Q900, West Lake Hills, TX 78746. The listed phone number is (512) 324-6970.

What is Matthew Bartow's specialty?

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

Is Matthew Bartow enrolled in Medicare?

Yes. Matthew Bartow 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 Bartow accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Matthew Bartow 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 Bartow was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.