MATTHEW SCANLON
NPI 1265894216
Emergency Medicine in Cincinnati, OH
About Matthew Scanlon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW SCANLON (NPI 1265894216) is an individual emergency medicine provider in Cincinnati, Ohio, licensed in Ohio (57.027620) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of University Of Pittsburgh School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Scanlon 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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Scanlon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Liverpool, OH 43920
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Mercy
Acute Care Hospitals · Pittsburgh, PAUpmc Presbyterian Shadyside
Acute Care Hospitals · Pittsburgh, PAPhysician 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.
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.
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.
CINCINNATI, OH 45219
CINCINNATI, OH 45219
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 Scanlon's NPI number?
The NPI number for Matthew Scanlon is 1265894216. It was assigned to this individual provider in the NPPES registry on March 28, 2016.
Where is Matthew Scanlon located?
Matthew Scanlon practices at 234 Goodman St Center For Emergency Care, Cincinnati, OH 45219. The listed phone number is (513) 558-8114.
What is Matthew Scanlon's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Matthew Scanlon enrolled in Medicare?
Yes. Matthew Scanlon 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.
Which organization bills Medicare for Matthew Scanlon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Scanlon reassigns Medicare benefits to University Of Pittsburgh Physicians (East Liverpool, OH). 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 Scanlon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Matthew Scanlon affiliated with any hospitals?
According to CMS data, Matthew Scanlon is affiliated with Upmc Mercy and Upmc Presbyterian Shadyside.
When was this NPI record last updated?
The NPPES record for Matthew Scanlon was last updated on June 15, 2021. 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.
# Matthew Scanlon · NPI 1265894216
Emergency Medicine physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since March 28, 2016.
## Identity
- **NPI:** 1265894216 (Entity type: Individual)
- **Enumerated:** March 28, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 57.027620 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 234 GOODMAN ST, CENTER FOR EMERGENCY CARE, Cincinnati, OH 45219-2364
- **Phone:** (513) 558-8114
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Pittsburgh Physicians (NPI 1811945793, East Liverpool, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pittsburgh School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** June 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265894216) · Data from the CMS NPPES public registry.