MATTHEW PETER SCHLUMBRECHT MD
NPI 1427251529
Obstetrics & Gynecology - Gynecologic Oncology in Miami, FL

Q: What is Matthew Schlumbrecht's NPI number?

The NPI number for Matthew Schlumbrecht is 1427251529. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Q: What is Matthew Schlumbrecht's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1475 NW 12TH AVE, MIAMI, FL 33136(305) 243-2233(305) 243-4938 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Matthew Peter Schlumbrecht Md NPPES

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

MATTHEW PETER SCHLUMBRECHT MD (NPI 1427251529) is an individual gynecologic oncology provider in Miami, Florida, licensed in Florida (ME127287) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of University Of Texas Medical School At Houston (2004).

NPPES Registry Identity

NPI1427251529

Entity TypeIndividualMale

Primary Taxonomy207VX0201X

Provider Legal NameMATTHEW PETER SCHLUMBRECHTCredential: MD

Location Address1475 NW 12TH AVEMiami, FL 33136-1002

Mailing Address1475 Nw 12th AveMiami, FL 33136-1002 · (305) 243-2233 · Fax (305) 243-4938

Phone(305) 243-2233

Fax(305) 243-4938

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2004

Enumeration DateJune 6, 2007

Last NPPES UpdateMay 18, 2016

✔ NPI 1427251529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

Licenses✔ Licensed in FL · ME127287✔ Licensed in AZ · 45722

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License M3378 (TX)

1475 NW 12TH AVE, Miami, FL 33136

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 Peter Schlumbrecht Md 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 ID8426181181

PECOS Enrollment IDI20160623001081

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 7

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 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.

70 services30 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.

50 services36 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.

45 services38 patients

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

40 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

28 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

15 services11 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100022

Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$187.05 typical visit price

range $60.92 – $187.05

Typical copayment $46.76 (range $15.23 – $46.76)

Most-billed visit code 99205

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

100/100

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

Individually scored

Quality

87.33

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

3%58 patients

Breast Cancer Screening

35%286 patients2/55-star benchmark: 93%

Cervical Cancer Screening

37%196 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

28%336 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

66%146 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

19%72 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

63%72 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%1,610 patients4/55-star benchmark: 100%

e-Prescribing

99%115 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

95%213 patients4/55-star benchmark: 100%

HIV Screening

28%399 patients2/55-star benchmark: 60%

Oncology: Medical and Radiation - Pain Intensity Quantified

85%388 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

45%511 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

91%445 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

36%899 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 100% · 355 patients

98%355 patients

Provide Patients Electronic Access to Their Health Information

100%263 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 13% · 206 patients

Patients totalRate: 21% · 206 patients

13%206 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MS. ALISSETTE NAVEDA ARNP

Nurse Practitioner (Family)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-5360

WALTER G BRADLEY

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

1475 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136

Miami-Dade County (305) 243-7520

DR. EVAN H SCHLAM MD

Dermatology

1475 NW 12TH AVE, BOX 016960
MIAMI, FL 33136

Miami-Dade County (305) 243-7688

DR. NESTOR RICARDO VILLAMIZAR M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-2363

MS. LINDSAY MARIE THORNTON MD

Radiology (Vascular & Interventional Radiology)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-5512

DR. GLENDA C HARRIS PH.D., L.AC.

Acupuncturist

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-1470

IVAYLO MIHAYLOV

Radiology (Radiation Oncology)

1475 NW 12TH AVE, SUITE 1500
MIAMI, FL 33136

Miami-Dade County (305) 243-8223

LOURDES MESTRE VALDES APRN

Nurse Practitioner (Gerontology)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-4902

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 Schlumbrecht's NPI number?

The NPI number for Matthew Schlumbrecht is 1427251529. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Matthew Schlumbrecht located?

Matthew Schlumbrecht practices at 1475 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-2233.

What is Matthew Schlumbrecht's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Matthew Schlumbrecht enrolled in Medicare?

Yes. Matthew Schlumbrecht 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 Schlumbrecht accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Matthew Schlumbrecht 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 Schlumbrecht affiliated with any hospitals?

According to CMS data, Matthew Schlumbrecht is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Matthew Schlumbrecht was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.