MATTHEW GLEN PRIDGEON M.D.
NPI 1255642732
Pediatrics in Grand Rapids, MI

Q: What is Matthew Pridgeon's NPI number?

The NPI number for Matthew Pridgeon is 1255642732. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Q: What is Matthew Pridgeon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Pridgeon was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 29, 2010PECOS Enrolled

35 MICHIGAN ST NE FL 2, GRAND RAPIDS, MI 49503(616) 267-1925(616) 267-1005 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, May 8, 2025, Feb 19, 2021 (3 updates tracked since 2021).

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About Matthew Glen Pridgeon M.d. NPPES

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

MATTHEW GLEN PRIDGEON M.D. (NPI 1255642732) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301096898) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255642732

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMATTHEW GLEN PRIDGEONCredential: M.D.

Location Address35 MICHIGAN ST NE FL 2Grand Rapids, MI 49503-2514

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790

Phone(616) 267-1925

Fax(616) 267-1005

Sole ProprietorNo

Enumeration DateJune 29, 2010

Last NPPES UpdateJune 4, 20253 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1255642732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301096898

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 ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License 4301096898 (MI)

35 MICHIGAN ST NE FL 2, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 (PECOS)

Matthew Glen Pridgeon M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $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.

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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. ALLISON MARIE CHAMPNEY SCHNEPP M.D.

Pediatrics (Pediatric Hematology-Oncology)