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DR. MATTHEW SCOTT STANDRIDGE D.D.S.
NPI 1255650529
Dentist - Dental Public Health in Potosi, MO

Active since May 25, 2010PECOS Enrolled
1 SOUTHTOWNE DR, POTOSI, MO 63664(573) 438-8401 Get Directions Write a Review

NPPES record last updated: August 5, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Matthew Scott Standridge D.d.s. NPPES

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

DR. MATTHEW SCOTT STANDRIDGE D.D.S. (NPI 1255650529) is an individual dental public health provider in Potosi, Missouri, licensed in Kansas (60776) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255650529
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameDR. MATTHEW SCOTT STANDRIDGECredential: D.D.S.
Location Address1 SOUTHTOWNE DRPotosi, MO 63664-5729
Mailing Address420 W 15th AveEmporia, KS 66801-5367 · (620) 342-4864 · Fax (620) 342-7790
Phone(573) 438-8401
Sole ProprietorNo
Enumeration DateMay 25, 2010
Last NPPES UpdateAugust 5, 2011
✔ NPI 1255650529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Licenses✔ Licensed in KS · 60776✔ Licensed in MO · 2010016150
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 60776 (KS)
1 SOUTHTOWNE DR, Potosi, MO 63664
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Scott Standridge D.d.s. 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 Reassignment

Medicare enrollment records show Matthew Standridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Kansas Mental Health Center
255 mi
Mental Health (Including Community Mental Health Center)
1106 S 9TH ST
Humboldt, KS 66748
  • Reassigned Medicare billing, Kansas enrollment
  • 25 clinicians in this Medicare group
NPI 1467414771 (620) 473-2241

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 63664 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 283-3111
GREGORY A ROEBACK LPC
Counselor (Professional)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-9355
PENNY KAYE GRECHUS MSN, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-7892
MELISSA GAIL BENSON LMSW
Social Worker (Clinical)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-8381
SAMANTHA ALANNA FINLEY FNP-C
Nurse Practitioner (Family)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-9355
MS. AUDRA LOUISE O'NEAL RDH
Dental Hygienist
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-8401
JESSICA LYNN HOLLAND FNP-C
Nurse Practitioner
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (572) 438-9355
MRS. TERRA RENEE GRAVES LCSW
Social Worker (Clinical)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-9355

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 Standridge's NPI number?

The NPI number for Matthew Standridge is 1255650529. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Matthew Standridge located?

Matthew Standridge practices at 1 Southtowne Dr, Potosi, MO 63664. The listed phone number is (573) 438-8401.

What is Matthew Standridge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Matthew Standridge enrolled in Medicare?

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

Which organization bills Medicare for Matthew Standridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Standridge reassigns Medicare benefits to Southeast Kansas Mental Health Center (Humboldt, KS). The 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 Standridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Standridge accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 3 other insurers list Matthew Standridge 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 Standridge was last updated on August 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.