MATTHEW R MISNER D.O.
NPI 1366637555
Pediatrics in Goshen, IN

Q: 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..

Q: What is Matthew Misner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: 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 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.

Active since September 11, 2007PECOS EnrolledAccepts Medicare Assignment

213 MIDDLEBURY ST, GOSHEN, IN 46528(574) 534-3300(574) 534-5412 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2019, May 15, 2019, Nov 30, 2018 (3 updates tracked since 2018).

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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

NPI1366637555

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMATTHEW R MISNERCredential: D.O.

Location Address213 MIDDLEBURY STGoshen, IN 46528

Mailing Address213 Middlebury StGoshen, IN 46528-2956 · (574) 534-3300 · Fax (574) 534-5412

Phone(574) 534-3300

Fax(574) 534-5412

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2004

Enumeration DateSeptember 11, 2007

Last NPPES UpdateAugust 26, 20193 updates tracked since enumeration

✔ NPI 1366637555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IN · 02004768A✔ Licensed in CA · 20A11818✔ Licensed in VA · 0102205035✔ Licensed in OK · 4644

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

213 MIDDLEBURY ST, Goshen, IN 46528

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Other Names 1

Former Name (1)Dr. Matthew Robert Hannasch D.o.

Secondary Practice Locations 2

Location 16913 N Main St Ste 200Granger, IN 46530-8039 · Phone (574) 647-4540 · Fax (574) 647-2567

Location 2808 N 3rd StGoshen, IN 46528-7100 · Phone (574) 534-0088 · Fax (574) 971-8434

Other Identifiers 1

Medicaid300019274IN

Accepted Insurance

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

PECOS PAC ID8224206149

PECOS Enrollment IDI20181011002295

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.

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.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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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.

MRS. KAITLYN E DELGADO FNP-BC

Nurse Practitioner (Family)