MATTHEW J. MARTINSON P.A.-C.
NPI 1245559749
Physician Assistant in Lexington, KY

Active since May 24, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1868 PLAUDIT PL, LEXINGTON, KY 40509(859) 263-5140(859) 263-5141 Get Directions Write a Review

NPPES record last updated: May 22, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2017, Jun 21, 2016 (2 updates tracked since 2016).

About Matthew J. Martinson P.a.-c. NPPES

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

MATTHEW J. MARTINSON P.A.-C. (NPI 1245559749) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA2093) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1245559749
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW J. MARTINSONCredential: P.A.-C.
Location Address1868 PLAUDIT PLLexington, KY 40509-2429
Mailing Address3480 Yorkshire Medical ParkLexington, KY 40509-1886 · (859) 263-5140 · Fax (859) 263-5141
Fax(859) 263-5141
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 24, 2010
Last NPPES UpdateMay 22, 20172 updates tracked since enumeration
NPI 1245559749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KY · PA2093 Licensed in KY · TC947
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.

1868 PLAUDIT PL, Lexington, KY 40509

Accepted 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 J. Martinson P.a.-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 ID2365631769
PECOS Enrollment IDI20160526002394
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 15

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.
800 services212 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.
433 services241 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.
252 services214 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
219 services206 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
177 services172 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
156 services141 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 8

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

Durable Medical Equipment & Medical Supplies
1868 PLAUDIT PL
LEXINGTON, KY 40509
Orthopaedic Surgery
1868 PLAUDIT PL
LEXINGTON, KY 40509
Physical Therapist
1868 PLAUDIT PL, SUITE B
LEXINGTON, KY 40509
Orthopaedic Surgery
1868 PLAUDIT PL, STE A
LEXINGTON, KY 40509
Physical Therapist
1868 PLAUDIT PL, SUITE B
LEXINGTON, KY 40509
Physician Assistant
1868 PLAUDIT PL
LEXINGTON, KY 40509
Physician Assistant
1868 PLAUDIT PL
LEXINGTON, KY 40509
Physician Assistant
1868 PLAUDIT PL
LEXINGTON, KY 40509

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 Martinson's NPI number?

The NPI number for Matthew Martinson is 1245559749. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Where is Matthew Martinson located?

Matthew Martinson practices at 1868 Plaudit Pl, Lexington, KY 40509. The listed phone number is (859) 263-5140.

What is Matthew Martinson's specialty?

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

Is Matthew Martinson enrolled in Medicare?

Yes. Matthew Martinson 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 Martinson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Matthew Martinson 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 Martinson affiliated with any hospitals?

According to CMS data, Matthew Martinson is affiliated with Baptist Health Richmond, Georgetown Community Hospital, Lake Cumberland Regional Hospital and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Matthew Martinson was last updated on May 22, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.