MR. MATTHEW RICHARD KNISLEY D.O.
NPI 1417100777
Internal Medicine in Royal Oak, MI

Q: What is Matthew Knisley's NPI number?

The NPI number for Matthew Knisley is 1417100777. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Q: What is Matthew Knisley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Knisley was last updated on January 30, 2026. 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 October 30, 2008PECOS EnrolledAccepts Medicare Assignment

84.72/100

CMS Quality Rating

3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-7999 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 30, 2026, Jul 21, 2022, Sep 25, 2020 (3 updates tracked since 2020).

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About Mr. Matthew Richard Knisley D.o. NPPES

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

MR. MATTHEW RICHARD KNISLEY D.O. (NPI 1417100777) is an individual internal medicine provider in Royal Oak, Michigan, licensed in Michigan (5101017788) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1417100777

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. MATTHEW RICHARD KNISLEYCredential: D.O.

Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849

Phone(248) 898-7999

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2008

Enumeration DateOctober 30, 2008

Last NPPES UpdateJanuary 30, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1417100777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MI · 5101017788✔ Licensed in AZ · 005707

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 005707 (AZ)

3601 W 13 MILE RD, Royal Oak, MI 48073

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Secondary Practice Location 1

Location 11400 S Dobson Road, Attn Amanda Gump/ HospitalistsMesa, AZ 85202 · Phone (480) 543-2034 · Fax (480) 543-2647

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

Mr. Matthew Richard Knisley 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 ID5698946655

PECOS Enrollment IDI20110922000648, I20120907000555

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

209 services206 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.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

84.72/100

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

Scored as part of a group practice

Quality

80.68

Promoting Interoperability

100

Improvement Activities

Cost

68.39

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.

AMIT BAHL MD, MPH

Emergency Medicine

3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073

Oakland County (248) 898-0575

CATHERINE LEE PA

Physician Assistant