DR. MATTHEW RICHARD MIDDAUGH M.D.
NPI 1528325586
Internal Medicine in Austin, TX

Active since April 16, 2012PECOS EnrolledAccepts Medicare Assignment
12221 N MO PAC EXPY, AUSTIN, TX 78758(512) 482-0045(512) 476-9892 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 19, 2017, Nov 2, 2016 (2 updates tracked since 2016).

About Dr. Matthew Richard Middaugh M.d. NPPES

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

DR. MATTHEW RICHARD MIDDAUGH M.D. (NPI 1528325586) is an individual internal medicine provider in Austin, Texas, licensed in Texas (Q6237) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1528325586
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MATTHEW RICHARD MIDDAUGHCredential: M.D.
Location Address12221 N MO PAC EXPYAustin, TX 78758-2401
Mailing Address7000 N Mo Pac Expy Ste 42Austin, TX 78731-3027 · (512) 482-0045 · Fax (512) 476-9892
Fax(512) 476-9892
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2012
Enumeration DateApril 16, 2012
Last NPPES UpdateDecember 19, 20172 updates tracked since enumeration
NPI 1528325586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · Q6237 Licensed in KY · 48292
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.

12221 N MO PAC EXPY, Austin, TX 78758

Secondary Practice Location 1

Location 1200 Abraham Flexner WayLouisville, KY 40202-1886 · Phone (502) 569-7983 · Fax (502) 589-4989

Other Identifiers 1

Medicaid7100256240KY

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 Richard Middaugh 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 ID5698082147
PECOS Enrollment IDI20240412002478
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
416 services176 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
255 services130 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
147 services142 patients
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.
37 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers24 claims24 services$13.92 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
3 suppliers29 claims29 services$60.32 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 20

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

Internal Medicine (Hematology & Oncology)
12221 N MO PAC EXPY, DEPT OF HEMATOLOGY/ONCOLOGY
AUSTIN, TX 78758
Radiology (Diagnostic Radiology)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Obstetrics & Gynecology (Gynecology)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Emergency Medicine (Emergency Medical Services)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Emergency Medicine (Emergency Medical Services)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Emergency Medicine (Emergency Medical Services)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Emergency Medicine (Emergency Medical Services)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Emergency Medicine (Emergency Medical Services)
12221 N MO PAC EXPY
AUSTIN, TX 78758

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528325586, enumerated as an "individual" on April 16, 2012.

The provider is located at 12221 N MO PAC EXPY AUSTIN, TX 78758 and the phone number is (512) 482-0045.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.

Matthew Middaugh is affiliated with: ALBANY MEDICAL CENTER HOSPITAL and COLUMBIA MEMORIAL HOSPITAL.