MATTHEW STAUBACH PA
NPI 1285306423
Physician Assistant in Cincinnati, OH

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4355 FERGUSON DR, CINCINNATI, OH 45245(513) 232-2663(859) 817-7848 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2021, Oct 5, 2021 (2 updates tracked since 2021).

About Matthew Staubach Pa NPPES

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

MATTHEW STAUBACH PA (NPI 1285306423) is an individual physician assistant in Cincinnati, Ohio, licensed in Ohio (50.006827RX) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285306423
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW STAUBACHCredential: PA
Location Address4355 FERGUSON DRCincinnati, OH 45245-5136
Mailing Address560 S Loop RdEdgewood, KY 41017-3405 · (859) 301-2663 · Fax (859) 817-7848
Fax(859) 817-7848
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 5, 2021
Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
NPI 1285306423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.006827RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4355 FERGUSON DR, Cincinnati, OH 45245

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 Staubach Pa 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 ID6103216684
PECOS Enrollment IDI20211124002366
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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services53 patients
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
44 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
37 services20 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
30 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45245 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier11 claims11 services$54.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Durable Medical Equipment & Medical Supplies
4355 FERGUSON DR, SUITE 270
CINCINNATI, OH 45245
Pain Medicine (Pain Medicine)
4355 FERGUSON DR, SUITE 270
CINCINNATI, OH 45245
Orthopaedic Surgery (Foot and Ankle Surgery)
4355 FERGUSON DR
CINCINNATI, OH 45245
Podiatrist
4355 FERGUSON DR
CINCINNATI, OH 45245
Occupational Therapist
4355 FERGUSON DR
CINCINNATI, OH 45245
Orthopaedic Surgery
4355 FERGUSON DR
CINCINNATI, OH 45245
Physical Therapist
4355 FERGUSON DR
CINCINNATI, OH 45245
Anesthesiology (Pain Medicine)
4355 FERGUSON DR, SUITE 270
CINCINNATI, OH 45245

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 Staubach's NPI number?

The NPI number for Matthew Staubach is 1285306423. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Matthew Staubach located?

Matthew Staubach practices at 4355 Ferguson Dr, Cincinnati, OH 45245. The listed phone number is (513) 232-2663.

What is Matthew Staubach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Staubach enrolled in Medicare?

Yes. Matthew Staubach 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 Staubach accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Matthew Staubach 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 Staubach affiliated with any hospitals?

According to CMS data, Matthew Staubach is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Staubach was last updated on November 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.