Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW PAZDERKA
NPI 1275995219
Family Medicine in South Bend, IN

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
765 S MICHIGAN ST, SOUTH BEND, IN 46601(574) 235-7990(574) 847-7201 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, Jan 27, 2021, Mar 28, 2016 (3 updates tracked since 2016).

About Matthew Pazderka NPPES

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

MATTHEW PAZDERKA (NPI 1275995219) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (01099563A) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of University Of Nebraska College Of Medicine (2016).

NPPES Registry Identity

NPI1275995219
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW PAZDERKA
Location Address765 S MICHIGAN STSouth Bend, IN 46601-3101
Mailing Address8003 Castleway DrIndianapolis, IN 46250-1946 · (317) 576-1335 · Fax (317) 343-6562
Fax(574) 847-7201
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
NPI 1275995219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IN · 01099563A Licensed in MI · 4301117376
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
765 S MICHIGAN ST, South Bend, IN 46601

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 Pazderka 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 ID8123319936
PECOS Enrollment IDI20260514003086
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Federally Qualified Health Center (FQHC))
765 S MICHIGAN ST
SOUTH BEND, IN 46601
Counselor (Mental Health)
765 S MICHIGAN ST
SOUTH BEND, IN 46601
Physician Assistant (Medical)
765 S MICHIGAN ST
SOUTH BEND, IN 46601

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 Pazderka's NPI number?

The NPI number for Matthew Pazderka is 1275995219. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Matthew Pazderka located?

Matthew Pazderka practices at 765 S Michigan St, South Bend, IN 46601. The listed phone number is (574) 235-7990.

What is Matthew Pazderka's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Pazderka enrolled in Medicare?

Yes. Matthew Pazderka 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 Pazderka accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Matthew Pazderka 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 Pazderka affiliated with any hospitals?

According to CMS data, Matthew Pazderka is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Matthew Pazderka was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.