DR. ADAM C. MATTHIAS D.D.S.
NPI 1407112600
Dentist - Oral and Maxillofacial Surgery in St Joseph, MO

Q: What is Adam Matthias's NPI number?

The NPI number for Adam Matthias is 1407112600. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Q: What is Adam Matthias's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Adam Matthias enrolled in Medicare?

No. Adam Matthias has opted out of Medicare through August 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Adam Matthias was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 02, 2012Opted out of Medicare · through Aug 2, 2027

3109 FREDERICK AVE, SUITE A, ST JOSEPH, MO 64506(816) 364-4774(816) 364-4373 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, Jun 14, 2016 (2 updates tracked since 2016).

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About Dr. Adam C. Matthias D.d.s. NPPES

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

DR. ADAM C. MATTHIAS D.D.S. (NPI 1407112600) is an individual oral and maxillofacial surgery provider in St Joseph, Missouri, licensed in Missouri (2016007792) and active in the NPI registry since April 2012. He has opted out of Medicare through August 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407112600

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. ADAM C. MATTHIASCredential: D.D.S.

Location Address3109 FREDERICK AVE, SUITE ASt Joseph, MO 64506-2959

Mailing Address3109 Frederick Ave, Suite ASt Joseph, MO 64506-2959 · (816) 364-4774 · Fax (816) 364-4373

Phone(816) 364-4774

Fax(816) 364-4373

Sole ProprietorYes

Enumeration DateApril 2, 2012

Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1407112600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MO · 2016007792

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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

3109 FREDERICK AVE, St Joseph, MO 64506

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Other Identifiers 1

Medicaid40031764MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Adam C. Matthias D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 2, 2021 through August 2, 2027.

Opt-Out Effective DateAugust 2, 2021

Opt-Out In Effect ThroughAugust 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64506 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

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.

DONALD LANCE GOSSETT D.D.S.

Dentist (Oral and Maxillofacial Surgery)

3109 FREDERICK AVE, SUITE A
SAINT JOSEPH, MO 64506

Buchanan County (816) 232-2300

DR. ROBERT M CRITTENDEN D.M.D

Dentist (Oral and Maxillofacial Surgery)

3109 FREDERICK AVE, SUITE A
SAINT JOSEPH, MO 64506

Buchanan County (816) 232-2300

RONALD WILSON TAYLOR D.D.S., M.S.

Dentist (Oral and Maxillofacial Surgery)

3109 FREDERICK AVE, SUITE A
SAINT JOSEPH, MO 64506

Buchanan County (816) 364-4774

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 Adam Matthias's NPI number?

The NPI number for Adam Matthias is 1407112600. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Adam Matthias located?

Adam Matthias practices at 3109 Frederick Ave Suite A, St Joseph, MO 64506. The listed phone number is (816) 364-4774.

What is Adam Matthias's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Adam Matthias enrolled in Medicare?

No. Adam Matthias has opted out of Medicare through August 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Adam Matthias accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Adam Matthias 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 Adam Matthias was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.