MR. MATTHEW HIGHFIELD NP-C
NPI 1245603828
Nurse Practitioner - Adult Health in Cincinnati, OH

Q: What is Matthew Highfield's NPI number?

The NPI number for Matthew Highfield is 1245603828. It was assigned to this individual provider in the NPPES registry on November 4, 2015.

Q: What is Matthew Highfield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Highfield was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 November 04, 2015PECOS EnrolledAccepts Medicare Assignment

66.17/100

CMS Quality Rating

10500 MONTGOMERY RD, CINCINNATI, OH 45242(513) 862-5050 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Matthew Highfield Np-c NPPES

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

MR. MATTHEW HIGHFIELD NP-C (NPI 1245603828) is an individual adult health provider in Cincinnati, Ohio, licensed in Ohio (18332) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245603828

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. MATTHEW HIGHFIELDCredential: NP-C

Location Address10500 MONTGOMERY RDCincinnati, OH 45242-4402

Mailing AddressWound Specialists Of Greater Cincinnati Llc, Po Box 643911Cincinnati, OH 45264-3911 · (513) 557-3330

Phone(513) 862-5050

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 4, 2015

✔ NPI 1245603828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in OH · 18332

10500 MONTGOMERY RD, Cincinnati, OH 45242

Open in Google Maps ↗

Other Identifiers 1

Other18332OH · Certificate Of Authority

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mr. Matthew Highfield Np-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 ID4688975717

PECOS Enrollment IDI20151215001739

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.

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

441 services149 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

201 services47 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

160 services52 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.

153 services84 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

130 services42 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

115 services51 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.

106 services67 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.

95 services95 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

53 services43 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

51 services50 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

42 services16 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

27 services26 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

27 services24 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

13 services11 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360046

Location110 North Poplar StreetOxford, OH 45056 · Butler County

Emergency services Birthing friendly

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360132

Location630 Eaton AvenueHamilton, OH 45013 · Butler County

Emergency services Birthing friendly

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

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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.

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.

66.17/100

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

Individually scored

Quality

49.37

Improvement Activities

Cost

32.02

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%134 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

3%2,709 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

65%595 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

0%808 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 82% · 354 patients

Patients screened: 94% · 354 patients

22%58 patients1/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 550 patients

Patients totalRate: 0% · 550 patients

0%550 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

5 suppliers18 claims920 services$0.09 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

4 suppliers21 claims390 services$6.81 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

4 suppliers12 claims145 services$9.38 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252

DME-Medical/Surgical Supplies · category DA023N

5 suppliers18 claims399 services$3.15 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

5 suppliers24 claims1,236 services$0.11 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

4 suppliers11 claims869 services$0.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DRAKE A SECCURRO MD

Hospitalist

10500 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-2246

GREGORIO MICELI DPM

Student in an Organized Health Care Education/Training Program

10500 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-1111

BENJAMIN BETHAY

Student in an Organized Health Care Education/Training Program

10500 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-1111

SMITH BEARELLY MD

Hospitalist

10500 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (513) 865-2246

VICTOR KOMLA DOE

Pharmacist

10500 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-1184

REGENCY HOSPITAL OF CINCINNATI, LLC

Internal Medicine

10500 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (717) 972-1100

SYED SHAD MAHMOOD

Internal Medicine (Critical Care Medicine)

10500 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-2246

DAVID A. FENWICK P.A.-C

Physician Assistant

10500 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (514) 865-1111

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 Highfield's NPI number?

The NPI number for Matthew Highfield is 1245603828. It was assigned to this individual provider in the NPPES registry on November 4, 2015.

Where is Matthew Highfield located?

Matthew Highfield practices at 10500 Montgomery Rd, Cincinnati, OH 45242. The listed phone number is (513) 862-5050.

What is Matthew Highfield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Matthew Highfield enrolled in Medicare?

Yes. Matthew Highfield 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 Highfield accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Matthew Highfield 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 Highfield affiliated with any hospitals?

According to CMS data, Matthew Highfield is affiliated with Mccullough-Hyde Memorial Hospital, Fort Hamilton Hughes Memorial Hospital, Good Samaritan Hospital, Upper Valley Medical Center and Bethesda North.

When was this NPI record last updated?

The NPPES record for Matthew Highfield was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.