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DR. D MATTHEW KOEHLER MD
NPI 1316031594
Internal Medicine in Delaware, OH

Active since October 03, 2006PECOS Enrolled
454 W CENTRAL AVE, DELAWARE, OH 43015(740) 369-1010(740) 363-4486 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. D Matthew Koehler Md NPPES

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

DR. D MATTHEW KOEHLER MD (NPI 1316031594) is an individual internal medicine provider in Delaware, Ohio, licensed in Ohio (35067848) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316031594
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. D MATTHEW KOEHLERCredential: MD
Location Address454 W CENTRAL AVEDelaware, OH 43015-1486
Mailing Address5400 Frantz Rd, Suite 250Dublin, OH 43016-4144
Phone(740) 369-1010
Fax(740) 363-4486
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 25, 2022
✔ NPI 1316031594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35067848
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
454 W CENTRAL AVE, Delaware, OH 43015
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Other Identifiers 1

Medicaid0239405OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. D Matthew Koehler Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 D Koehler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grady Memorial Hospital
0.3 mi
General Acute Care Hospital
561 W CENTRAL AVE
Delaware, OH 43015
  • Reassigned Medicare billing, Ohio enrollment
  • 25 clinicians in this Medicare group
NPI 1235174327 (740) 615-1000
Mount Carmel Health Providers Inc
18 mi
Family Medicine
1495 MORSE RD
Columbus, OH 43229
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Mount Carmel Healthproviders Inc
  • 157 clinicians in this Medicare group
NPI 1831364876 (614) 267-1440
Ohiohealth Corporation
19 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772

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 8

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 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.
470 services192 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
455 services346 patients
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.
109 services82 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
59 services59 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
45 services43 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43015 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers33 claims72 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims11 services$0.92 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers36 claims36 services$5.85 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 3

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

GARY JAMES DUNCAN MD
Family Medicine
454 W CENTRAL AVE
DELAWARE, OH 43015
Delaware County (740) 369-1010
DR. GERALD THOMAS FRENCH MD
Internal Medicine
454 W CENTRAL AVE
DELAWARE, OH 43015
Delaware County (740) 369-1010
DELAWARE INTERNAL MEDICINE
Family Medicine
454 W CENTRAL AVE
DELAWARE, OH 43015
Delaware County (740) 369-1010

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 D Koehler's NPI number?

The NPI number for D Koehler is 1316031594. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is D Koehler located?

D Koehler practices at 454 W Central Ave, Delaware, OH 43015. The listed phone number is (740) 369-1010.

What is D Koehler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is D Koehler enrolled in Medicare?

Yes. D Koehler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for D Koehler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), D Koehler reassigns Medicare benefits to 3 organizations: Grady Memorial Hospital (Delaware, OH), Mount Carmel Health Providers Inc (Columbus, OH) and Ohiohealth Corporation (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 D Koehler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does D Koehler accept?

Health plans from MedMutual list D Koehler 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.

When was this NPI record last updated?

The NPPES record for D Koehler was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.