DR. MATTHEW P DOEPKER MD
NPI 1316232606
Surgery - Surgical Oncology in Centerville, OH

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
2300 MIAMI VALLEY DR STE 350, CENTERVILLE, OH 45459(937) 424-2469(937) 424-2479 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2019, Nov 21, 2016, Mar 16, 2016 (3 updates tracked since 2016).

About Dr. Matthew P Doepker Md NPPES

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

DR. MATTHEW P DOEPKER MD (NPI 1316232606) is an individual surgical oncology provider in Centerville, Ohio, licensed in Ohio (35.134802) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Michigan School Of Dentistry (2008).

NPPES Registry Identity

NPI1316232606
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. MATTHEW P DOEPKERCredential: MD
Location Address2300 MIAMI VALLEY DR STE 350Centerville, OH 45459-1294
Mailing Address2300 Miami Valley Dr Ste 350Centerville, OH 45459-1294 · (937) 424-2469 · Fax (937) 424-2479
Fax(937) 424-2479
Sole ProprietorNo
Medical School CMSUniversity Of Michigan School Of DentistryGraduated 2008
Enumeration DateJune 14, 2011
Last NPPES UpdateNovember 12, 20193 updates tracked since enumeration
NPI 1316232606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses Licensed in OH · 35.134802 Licensed in SC · 39255
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 39255 (SC)
2300 MIAMI VALLEY DR STE 350, Centerville, OH 45459

Other Identifiers 3

Medicaid0316031OH
Other39255SC · License
Medicaid392550SC

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. Matthew P Doepker 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 ID4385879238
PECOS Enrollment IDI20181026000192
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 5

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.
65 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 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.
40 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services26 patients
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm 11606
This procedure involves surgically removing a cancerous skin growth larger than 4.0 cm on your body, arms, or legs. It's a crucial step in preventing the spread of cancer. Local anesthesia is typically used, and recovery time varies. It's a common and safe procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Other Providers at the Same Location NPPES 6

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

Surgery (Surgical Oncology)
2300 MIAMI VALLEY DR STE 350
CENTERVILLE, OH 45459
Physician Assistant
2300 MIAMI VALLEY DR STE 350
CENTERVILLE, OH 45459
Surgery (Surgical Oncology)
2300 MIAMI VALLEY DR STE 350
CENTERVILLE, OH 45459
Physician Assistant
2300 MIAMI VALLEY DR STE 350
CENTERVILLE, OH 45459
Surgery (Vascular Surgery)
2300 MIAMI VALLEY DR STE 350
DAYTON, OH 45459
Orthopaedic Surgery
2300 MIAMI VALLEY DR STE 350
CENTERVILLE, OH 45459

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 Doepker's NPI number?

The NPI number for Matthew Doepker is 1316232606. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Matthew Doepker located?

Matthew Doepker practices at 2300 Miami Valley Dr Ste 350, Centerville, OH 45459. The listed phone number is (937) 424-2469.

What is Matthew Doepker's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Matthew Doepker enrolled in Medicare?

Yes. Matthew Doepker 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 Doepker accept?

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

According to CMS data, Matthew Doepker is affiliated with Miami Valley Hospital, Atrium Medical Center and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Doepker was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.