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MATTHEW ALAN DURST MD
NPI 1225612971
Pediatrics in Toledo, OH

Active since May 10, 2021PECOS Enrolled
2213 CHERRY ST, TOLEDO, OH 43608(419) 251-7960 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 10, 2025, Jun 6, 2024, May 10, 2021 (3 updates tracked since 2021).

About Matthew Alan Durst Md NPPES

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

MATTHEW ALAN DURST MD (NPI 1225612971) is an individual pediatrics provider in Toledo, Ohio, licensed in Ohio (35.149365) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225612971
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW ALAN DURSTCredential: MD
Location Address2213 CHERRY STToledo, OH 43608-2603
Mailing Address2213 Cherry StToledo, OH 43608-2603 · (419) 251-7960
Phone(419) 251-7960
Sole ProprietorYes
Enumeration DateMay 10, 2021
Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1225612971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.149365
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 35.149365 (OH)
2213 CHERRY ST, Toledo, OH 43608
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Other Identifiers 1

Medicaid0449337OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Alan Durst Md 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 Reassignments

2

Medicare enrollment records show Matthew Durst reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Pediatric Specialists, LLC
Same address
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group
NPI 1033709100 (419) 251-3232
Mercy Health Physicians North Specialty Care LLC
0.9 mi
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
NPI 1306468418 (888) 696-3541

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 43608 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

JENNIFER DAWN TROST NNP
Nurse Practitioner (Neonatal)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4360
ROCIO CROSBY CNP
Nurse Practitioner (Family)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-2878
JACOBY JACOBSEN D.O.
Orthopaedic Surgery
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-6596
DR. NIZHONI W DENIPAH M.D.
Otolaryngology
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-1020
JANILLE ANN BLAYLOCK APRN, NP-C
Nurse Practitioner (Family)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 696-5555
NEW CENTURY MEDICAL OBSERVATION SERVICES OF LUCAS COUNTY, INC
Emergency Medicine
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-3232
DR. ANTHONY JOSEPH DOLNEY MD
Emergency Medicine
2213 CHERRY ST, ACC TRAUMA CLINIC
TOLEDO, OH 43608
Lucas County (419) 251-4724
GREGORY HALSTEAD CRNA
Nurse Anesthetist, Certified Registered
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4524

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 Durst's NPI number?

The NPI number for Matthew Durst is 1225612971. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Matthew Durst located?

Matthew Durst practices at 2213 Cherry St, Toledo, OH 43608. The listed phone number is (419) 251-7960.

What is Matthew Durst's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Durst enrolled in Medicare?

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

Which organizations bill Medicare for Matthew Durst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Durst reassigns Medicare benefits to 2 organizations: Northwest Pediatric Specialists, LLC (Toledo, OH) and Mercy Health Physicians North Specialty Care LLC (Toledo, OH). 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 Durst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Durst accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and CareSource list Matthew Durst 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 Durst was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.