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DR. MATTHEW SCOTT HENSLER M.D.
NPI 1235455833
Otolaryngology in Cincinnati, OH

Active since April 08, 2010PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
2123 AUBURN AVE, SUITE 209, CINCINNATI, OH 45219(513) 421-5558 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew Scott Hensler M.d. NPPES

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

DR. MATTHEW SCOTT HENSLER M.D. (NPI 1235455833) is an individual otolaryngology provider in Cincinnati, Ohio, licensed in Ohio (35.120373) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2010).

NPPES Registry Identity

NPI1235455833
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MATTHEW SCOTT HENSLERCredential: M.D.
Location Address2123 AUBURN AVE, SUITE 209Cincinnati, OH 45219-2906
Mailing Address237 William Howard Taft, 2nd Fl, Cbo2-3, Attn: CredentialingCincinnati, OH 45219-2906 · (513) 263-8571 · Fax (513) 366-4480
Phone(513) 421-5558
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2010
Enumeration DateApril 8, 2010
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1235455833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in OH · 35.120373✔ Licensed in KY · 47935
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2123 AUBURN AVE, Cincinnati, OH 45219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Dr. Matthew Scott Hensler 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 ID1850539552
PECOS Enrollment IDI20150715002389, I20150818004646
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 10

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 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.
307 services246 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.
202 services202 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
126 services105 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.
104 services89 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
87 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
81 services81 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.26
Promoting Interoperability100
Improvement Activities40
Cost77.87

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.

DR. KIRANMAYEE LANKA M.D., M.P.H
Internal Medicine (Critical Care Medicine)
2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
NOEMI CLEOFAS RICO-CEPPI MD
Family Medicine
2123 AUBURN AVE
CINCINNATI, OH 45219
Hamilton County (513) 585-3238
EUGENE CHUNG M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2123 AUBURN AVE, SU. 137
CINCINNATI, OH 45219
Hamilton County (513) 206-1180
DR. REID ARTHUR HARTMANN M.D.
Family Medicine
2123 AUBURN AVE, SUITE 235
CINCINNATI, OH 45219
Hamilton County (513) 585-3238
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Hamilton County (513) 381-5227
JILL GAST APRN.CNP
Nurse Practitioner (Family)
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Hamilton County (513) 241-4223
YOLANDA DANIELA FARHEY M.D.
Internal Medicine (Rheumatology)
2123 AUBURN AVE, STE 630
CINCINNATI, OH 45219
Hamilton County (513) 585-1970
BRIAN REVIS MD
Internal Medicine (Nephrology)
2123 AUBURN AVE, STE 404
CINCINNATI, OH 45219
Hamilton County (513) 241-5630

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 Hensler's NPI number?

The NPI number for Matthew Hensler is 1235455833. It was assigned to this individual provider in the NPPES registry on April 8, 2010.

Where is Matthew Hensler located?

Matthew Hensler practices at 2123 Auburn Ave Suite 209, Cincinnati, OH 45219. The listed phone number is (513) 421-5558.

What is Matthew Hensler's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Matthew Hensler enrolled in Medicare?

Yes. Matthew Hensler 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 Hensler accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Matthew Hensler 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 Hensler affiliated with any hospitals?

According to CMS data, Matthew Hensler is affiliated with Good Samaritan Hospital and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Hensler was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.