DR. MATTHEW A. PAPARO MD
NPI 1508831975
Internal Medicine - Pulmonary Disease in Fort Wayne, IN

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
79.63/100
CMS Quality Rating
11104 PARKVIEW CIRCLE DR STE 410, FORT WAYNE, IN 46845(260) 266-7856(260) 266-5279 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Sep 29, 2020, Apr 12, 2019 (3 updates tracked since 2019).

About Dr. Matthew A. Paparo Md NPPES

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

DR. MATTHEW A. PAPARO MD (NPI 1508831975) is an individual pulmonary disease provider in Fort Wayne, Indiana, licensed in Indiana (01067162A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1508831975
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MATTHEW A. PAPAROCredential: MD
Location Address11104 PARKVIEW CIRCLE DR STE 410Fort Wayne, IN 46845-0025
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 266-5279
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 21, 2006
Last NPPES UpdateAugust 24, 20233 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
NPI 1508831975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IN · 01067162A
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
11104 PARKVIEW CIRCLE DR STE 410, Fort Wayne, IN 46845

Other Identifiers 6

Medicaid1013844430001PA
Other232359401PA · Great Valley Health
Other000000624222IN · Anthem
Medicaid1013844430002PA
Medicaid200956840IN
OtherP00790216IN · R.r. Medicare

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 A. Paparo 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 ID143245530
PECOS Enrollment IDI20181108002081
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 20

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 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.
53 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services19 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
49 services49 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
49 services49 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
30 services30 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
24 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

79.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Promoting Interoperability78
Improvement Activities40
Cost74.42

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.14 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$783.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers33 claims33 services$98.50 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$34.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR STE 410
FORT WAYNE, IN 46845
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR STE 410
FORT WAYNE, IN 46845
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR STE 410
FORT WAYNE, IN 46845
Physician Assistant
11104 PARKVIEW CIRCLE DR STE 410
FORT WAYNE, IN 46845
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR STE 410
FORT WAYNE, IN 46845
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR STE 410
FORT WAYNE, IN 46845
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR STE 410
FORT WAYNE, IN 46845
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR STE 410
FORT WAYNE, IN 46845

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 Paparo's NPI number?

The NPI number for Matthew Paparo is 1508831975. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Matthew Paparo located?

Matthew Paparo practices at 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845. The listed phone number is (260) 266-7856.

What is Matthew Paparo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Matthew Paparo enrolled in Medicare?

Yes. Matthew Paparo 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 Paparo accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Medica list Matthew Paparo 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 Paparo affiliated with any hospitals?

According to CMS data, Matthew Paparo is affiliated with Parkview Regional Medical Center, Parkview Huntington Hospital, Parkview Whitley Hospital, Parkview Noble Hospital and Community Hospitals And Wellness Centers.

When was this NPI record last updated?

The NPPES record for Matthew Paparo was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.