DR. MATTHEW C GROTHAUS M.D.
NPI 1417978776
Orthopaedic Surgery in Hicksville, OH

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
208 COLUMBUS ST, HICKSVILLE, OH 43526(419) 542-5669(419) 542-5667 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew C Grothaus M.d. NPPES

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

DR. MATTHEW C GROTHAUS M.D. (NPI 1417978776) is an individual orthopaedic surgery provider in Hicksville, Ohio, licensed in Ohio (35087589) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and maintains a secondary practice location in Bryan.

NPPES Registry Identity

NPI1417978776
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MATTHEW C GROTHAUSCredential: M.D.
Location Address208 COLUMBUS STHicksville, OH 43526
Mailing Address208 Columbus StHicksville, OH 43526-1299 · (419) 542-5669 · Fax (419) 542-5667
Fax(419) 542-5667
Sole ProprietorNo
Medical School CMSToledo Medical CollegeGraduated 2006
Enumeration DateJuly 22, 2006
Last NPPES UpdateAugust 14, 2018
NPI 1417978776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35087589
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
208 COLUMBUS ST, Hicksville, OH 43526

Secondary Practice Location 1

Location 1442 W High StBryan, OH 43506-1681 · Phone (419) 636-4517 ext. 4444 · Fax (419) 636-6438

Other Identifiers 3

OtherP00453968OH · Railroad
Other35-087589OH · License
Medicaid2791331OH

Accepted 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

Dr. Matthew C Grothaus M.d. 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 ID9032118138
PECOS Enrollment IDI20071113000491
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 17

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.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
480 services11 patients
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.
239 services160 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
164 services81 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.
127 services101 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
116 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
81 services81 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Paulding County Hospital

Critical Access Hospitals · Paulding, OH
OwnershipGovernment - Local
CMS Certification Number361300
Location1035 West Wayne St.Paulding, OH 45879 · Paulding County
Emergency services

Community Hospitals And Wellness Centers

Critical Access Hospitals · Montpelier, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361327
Location909 East Snyder AvenueMontpelier, OH 43543 · Williams County
Emergency services

Promedica Defiance Regional Hospital

Critical Access Hospitals · Defiance, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361328
Location1200 Ralston AvenueDefiance, OH 43512 · Defiance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43526 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 17

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

Dietitian, Registered
208 COLUMBUS ST
HICKSVILLE, OH 43526
General Acute Care Hospital (Critical Access)
208 COLUMBUS ST
HICKSVILLE, OH 43526
Clinic/Center (Rural Health)
208 COLUMBUS ST
HICKSVILLE, OH 43526
Massage Therapist
208 COLUMBUS ST
HICKSVILLE, OH 43526
Otolaryngology
208 COLUMBUS ST
HICKSVILLE, OH 43526
Physician Assistant
208 COLUMBUS ST
HICKSVILLE, OH 43526
Dietitian, Registered
208 COLUMBUS ST
HICKSVILLE, OH 43526
Orthopaedic Surgery
208 COLUMBUS ST
HICKSVILLE, OH 43526

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 Grothaus's NPI number?

The NPI number for Matthew Grothaus is 1417978776. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Matthew Grothaus located?

Matthew Grothaus practices at 208 Columbus St, Hicksville, OH 43526. The listed phone number is (419) 542-5669.

What is Matthew Grothaus's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matthew Grothaus enrolled in Medicare?

Yes. Matthew Grothaus 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 Grothaus accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and CareSource and 2 other insurers list Matthew Grothaus 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 Grothaus affiliated with any hospitals?

According to CMS data, Matthew Grothaus is affiliated with Promedica Toledo Hospital, Community Hospitals And Wellness Centers, Paulding County Hospital and Promedica Defiance Regional Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Grothaus was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.