DR. JERRY A MATLEN MD
NPI 1306827688
Orthopaedic Surgery in Southfield, MI

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
26025 LAHSER RD, 2ND FLOOR, SOUTHFIELD, MI 48033(248) 663-1900(248) 663-1902 Get Directions Write a Review

NPPES record last updated: January 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerry A Matlen Md NPPES

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

DR. JERRY A MATLEN MD (NPI 1306827688) is an individual orthopaedic surgery provider in Southfield, Michigan, licensed in Michigan (4301040826) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Wayne State University School Of Medicine (1978).

NPPES Registry Identity

NPI1306827688
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JERRY A MATLENCredential: MD
Location Address26025 LAHSER RD, 2ND FLOORSouthfield, MI 48033-2601
Mailing Address26025 Lahser Rd, 2nd FloorSouthfield, MI 48033-2601 · (248) 663-1900 · Fax (248) 663-1902
Fax(248) 663-1902
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1978
Enumeration DateNovember 14, 2005
Last NPPES UpdateJanuary 12, 2010
NPI 1306827688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4301040826
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
26025 LAHSER RD, Southfield, MI 48033

Other Identifiers 6

Other0767220001MI · Administar Federal
Other0F33583MI · Bcbs Dme
Medicare UPINB45294
Medicare PIN0M08420006MI
Other0F31114MI · Bcbs
Medicaid2751188MI

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

Dr. Jerry A Matlen 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 ID5890780407
PECOS Enrollment IDI20100520000384
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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48033 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Physical Therapist
26025 LAHSER RD
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD, 2ND FLOOR
SOUTHFIELD, MI 48033
Occupational Therapist
26025 LAHSER RD
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD, 2ND FLOOR
SOUTHFIELD, MI 48033
Physician Assistant
26025 LAHSER RD, 2ND FLOOR
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD, 2ND FLOOR
SOUTHFIELD, MI 48033
Physical Therapist
26025 LAHSER RD
SOUTHFIELD, MI 48033

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 Jerry Matlen's NPI number?

The NPI number for Jerry Matlen is 1306827688. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Jerry Matlen located?

Jerry Matlen practices at 26025 Lahser Rd 2nd Floor, Southfield, MI 48033. The listed phone number is (248) 663-1900.

What is Jerry Matlen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jerry Matlen enrolled in Medicare?

Yes. Jerry Matlen 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 Jerry Matlen 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 3 other insurers list Jerry Matlen 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 Jerry Matlen affiliated with any hospitals?

According to CMS data, Jerry Matlen is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Jerry Matlen was last updated on January 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.