MATTHEW R MISNER D.O.
NPI 1366637555
Pediatrics in Goshen, IN
About Matthew R Misner D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW R MISNER D.O. (NPI 1366637555) is an individual pediatrics provider in Goshen, Indiana, licensed in Indiana (02004768A) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2004).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
Accepted 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 R Misner D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Misner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 8 clinicians in this Medicare group
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 216 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46528 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GOSHEN, IN 46528
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 Misner's NPI number?
The NPI number for Matthew Misner is 1366637555. It was assigned to this individual provider in the NPPES registry on September 11, 2007. The provider is also known as Dr. Matthew Robert Hannasch D.O..
Where is Matthew Misner located?
Matthew Misner practices at 213 Middlebury St, Goshen, IN 46528. The listed phone number is (574) 534-3300.
What is Matthew Misner's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Matthew Misner enrolled in Medicare?
Yes. Matthew Misner 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 Misner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Misner reassigns Medicare benefits to 2 organizations: Center For Medical Services LLC (Mishawaka, IN) and Saint Joseph Regional Medical Center-South Bend Campus, Inc (Mishawaka, IN). 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 Misner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Misner accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Matthew Misner 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 Matthew Misner was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Matthew R Misner, D.O. · NPI 1366637555
Pediatrics physician in Goshen, Indiana. Individual provider, active in the CMS NPPES registry since September 11, 2007.
## Identity
- **NPI:** 1366637555 (Entity type: Individual)
- **Enumerated:** September 11, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 02004768A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 213 MIDDLEBURY ST, Goshen, IN 46528
- **Phone:** (574) 534-3300 · **Fax:** (574) 534-5412
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Center For Medical Services LLC (NPI 1700544509, Mishawaka, IN); Saint Joseph Regional Medical Center-South Bend Campus, Inc (NPI 1699132365, Mishawaka, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2004
## Record status
- **NPPES last updated:** August 26, 2019
- **Other identifiers:** Medicaid 300019274 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1366637555) · Data from the CMS NPPES public registry.