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MATTHEW EMERY MD
NPI 1285098004
Hospitalist in Columbus, OH

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1405 S. HIGH ST., OSU/NCH INTERNAL MEDICINE-PEDIATRIC RESIDENCY PROG., COLUMBUS, OH 43207(614) 355-9000(614) 355-9010 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2025, May 21, 2020, Apr 7, 2020 and 1 more (4 updates tracked since 2016).

About Matthew Emery Md NPPES

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

MATTHEW EMERY MD (NPI 1285098004) is an individual hospitalist provider in Columbus, Ohio, licensed in Ohio (35133614) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1285098004
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMATTHEW EMERYCredential: MD
Location Address1405 S. HIGH ST., OSU/NCH INTERNAL MEDICINE-PEDIATRIC RESIDENCY PROG.Columbus, OH 43207
Mailing Address1572 Austin DrColumbus, OH 43220-3104
Phone(614) 355-9000
Fax(614) 355-9010
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateAugust 12, 20254 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1285098004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35133614
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35133614 (OH)
Also ListedPediatricsTaxonomy 208000000X · License 35133614 (OH)
1405 S. HIGH ST., Columbus, OH 43207
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000
Location 2452 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-7499 · Fax (614) 366-2360
Location 3444 Butterfly Gardens DriveColumbus, OH 43215 · Phone (614) 722-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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 Emery Md 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 ID143517870
PECOS Enrollment IDI20200512003790
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 Reassignments

3

Medicare enrollment records show Matthew Emery reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nationwide Children's Hospital
1.6 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Pediatric Academic Association, Inc.
1.6 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579
Osu Internal Medicine, LLC
4.4 mi
Internal Medicine
410 W 10TH AVE
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 1,230 clinicians in this Medicare group
NPI 1740231448 (614) 293-8000

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
87 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services21 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Nationwide Children's Hospital

Childrens · Columbus, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number363305
Location700 Children's DriveColumbus, OH 43205 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43207 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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 Emery's NPI number?

The NPI number for Matthew Emery is 1285098004. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Matthew Emery located?

Matthew Emery practices at 1405 S. High St. Osu/Nch Internal Medicine-Pediatric Residency Prog., Columbus, OH 43207. The listed phone number is (614) 355-9000.

What is Matthew Emery's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Matthew Emery enrolled in Medicare?

Yes. Matthew Emery 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 organizations bill Medicare for Matthew Emery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Emery reassigns Medicare benefits to 3 organizations: Nationwide Children's Hospital (Columbus, OH), Pediatric Academic Association, Inc. (Columbus, OH) and Osu Internal Medicine, LLC (Columbus, OH). Each 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 Emery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Emery accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Matthew Emery 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 Emery affiliated with any hospitals?

According to CMS data, Matthew Emery is affiliated with Ohio State University State Health System and Nationwide Children's Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Emery was last updated on August 12, 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.