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MATTHEW THOMAS SUGALSKI M.D.
NPI 1487657169
Orthopaedic Surgery in Lebanon, TN

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
1430 W BADDOUR PKWY STE A, LEBANON, TN 37087(615) 730-8626 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2025, May 2, 2024, Jul 19, 2023 and 3 more (6 updates tracked since 2020).

About Matthew Thomas Sugalski M.d. NPPES

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

MATTHEW THOMAS SUGALSKI M.D. (NPI 1487657169) is an individual orthopaedic surgery provider in Lebanon, Tennessee, licensed in Tennessee (60594) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt Wilson County Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487657169
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMATTHEW THOMAS SUGALSKICredential: M.D.
Location Address1430 W BADDOUR PKWY STE ALebanon, TN 37087-2656
Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018
Phone(615) 730-8626
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1998
Enumeration DateMay 24, 2005
Last NPPES UpdateMarch 3, 20256 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1487657169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in TN · 60594✔ Licensed in HI · MD13601✔ Licensed in OR · MD26225✔ Licensed in MN · 46419✔ Licensed in KY · 53892✔ Licensed in NY · 219380
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.
1430 W BADDOUR PKWY STE A, Lebanon, TN 37087
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Secondary Practice Locations 2

Location 1300 Stonecrest Blvd Ste 230Smyrna, TN 37167-6800 · Phone (615) 730-8626
Location 2300 Stonecrest Blvd Ste 220Smyrna, TN 37167-6800 · Phone (615) 730-8626

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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 Thomas Sugalski 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 ID6002875861
PECOS Enrollment IDI20201009000535
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 9

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, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,804 services18 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.
55 services39 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.
55 services40 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.
32 services20 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
30 services16 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
25 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440193
Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County
Emergency services Birthing friendly

Tristar Southern Hills Medical Center

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440197
Location391 Wallace RdNashville, TN 37211 · Davidson County
Emergency services

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440227
Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 2

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

ADVANCED DIAGNOSTIC IMAGING PC
Durable Medical Equipment & Medical Supplies
1430 W BADDOUR PKWY STE A
LEBANON, TN 37087
Wilson County (615) 730-8626
ADVANCED DIAGNOSTIC IMAGING, PC
Durable Medical Equipment & Medical Supplies
1430 W BADDOUR PKWY STE A
LEBANON, TN 37087
Wilson County (615) 730-8626

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 Sugalski's NPI number?

The NPI number for Matthew Sugalski is 1487657169. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Matthew Sugalski located?

Matthew Sugalski practices at 1430 W Baddour Pkwy Ste A, Lebanon, TN 37087. The listed phone number is (615) 730-8626.

What is Matthew Sugalski's specialty?

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

Is Matthew Sugalski enrolled in Medicare?

Yes. Matthew Sugalski 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 Sugalski accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Matthew Sugalski 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 Sugalski affiliated with any hospitals?

According to CMS data, Matthew Sugalski is affiliated with Vanderbilt Wilson County Hospital, Tristar Southern Hills Medical Center and Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Sugalski was last updated on March 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.