MATTHEW JAMES AUSSPRUNG
NPI 1396109286
Internal Medicine - Rheumatology in Spartanburg, SC

Q: What is Matthew Aussprung's NPI number?

The NPI number for Matthew Aussprung is 1396109286. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Q: What is Matthew Aussprung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Aussprung was last updated on September 16, 2021. 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.

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

1330 BOILING SPRINGS RD STE 1700, SPARTANBURG, SC 29303(864) 560-6844(864) 560-7015 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2021, Aug 11, 2021 (2 updates tracked since 2021).

On this page

About Matthew James Aussprung NPPES

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

MATTHEW JAMES AUSSPRUNG (NPI 1396109286) is an individual rheumatology provider in Spartanburg, South Carolina, licensed in South Carolina (86344) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2016).

NPPES Registry Identity

NPI1396109286

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameMATTHEW JAMES AUSSPRUNG

Location Address1330 BOILING SPRINGS RD STE 1700Spartanburg, SC 29303-4208

Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413

Phone(864) 560-6844

Fax(864) 560-7015

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2016

Enumeration DateApril 7, 2016

Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2021

✔ NPI 1396109286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in SC · 86344

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1330 BOILING SPRINGS RD STE 1700, Spartanburg, SC 29303

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Other Identifiers 3

Medicaid863444SC

OtherSCK6963365SC · Medicare Pin

OtherSCK6965019SC · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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 James Aussprung 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 ID5799084398

PECOS Enrollment IDI20210809001547

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 3

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.

367 services213 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.

143 services108 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

64 services62 patients

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420103

Location250 Westmoreland RoadGreer, SC 29651 · Greenville County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

SPARTANBURG MEDICAL CENTER

Internal Medicine (Rheumatology)

1330 BOILING SPRINGS RD STE 1700
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6844

COURTNEY HILL KALLINGER PA-C

Physician Assistant

1330 BOILING SPRINGS RD STE 1700
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6844

JONATHAN MILES MCGEHEE NP

Nurse Practitioner (Family)

1330 BOILING SPRINGS RD STE 1700
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6844

SUNITA DIA MD

Internal Medicine (Rheumatology)

1330 BOILING SPRINGS RD STE 1700
SPARTANBURG, SC 29303

Spartanburg County (645) 606-8448

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 Aussprung's NPI number?

The NPI number for Matthew Aussprung is 1396109286. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Matthew Aussprung located?

Matthew Aussprung practices at 1330 Boiling Springs Rd Ste 1700, Spartanburg, SC 29303. The listed phone number is (864) 560-6844.

What is Matthew Aussprung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Matthew Aussprung enrolled in Medicare?

Yes. Matthew Aussprung 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 Aussprung accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Matthew Aussprung 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 Aussprung affiliated with any hospitals?

According to CMS data, Matthew Aussprung is affiliated with Spartanburg Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Aussprung was last updated on September 16, 2021. 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.