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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: August 16, 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 is a graduate of Texas A & M University System, Hsc, College Of Medicine (2012).

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
Phone(512) 482-0045
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
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Other Identifiers 1

Medicaid7100256240KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 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.

THE AUSTIN DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Rheumatology)
12221 N MO PAC EXPY, DEPT OF RHEUMATOLOGY
AUSTIN, TX 78758
Travis County (512) 901-4018
DR. MARY E GASAL M.D.
Obstetrics & Gynecology (Gynecology)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Travis County (512) 901-4022
MARIA L TRIROGOFF MD
Internal Medicine (Nephrology)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Travis County (512) 901-4010
SONALI P. BIREWAR MD
Internal Medicine (Nephrology)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Travis County (512) 901-4010
ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP
Clinic/Center (Ambulatory Surgical)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Travis County (512) 901-1000
THE AUSTIN DIAGNOSTIC CLINIC, PLLC
Internal Medicine
12221 N MO PAC EXPY, DEPT OF INTERNAL MEDICINE
AUSTIN, TX 78758
Travis County (512) 901-4009
DR. JOY NIELSEN M.D.
Urology
12221 N MO PAC EXPY
AUSTIN, TX 78758
Travis County (512) 901-4021
AUSTIN DIAGNOSTIC CLINIC, PA
Internal Medicine (Hematology & Oncology)
12221 N MO PAC EXPY
AUSTIN, TX 78758
Travis County (512) 901-1111

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 Middaugh's NPI number?

The NPI number for Matthew Middaugh is 1528325586. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Where is Matthew Middaugh located?

Matthew Middaugh practices at 12221 N Mo Pac Expy, Austin, TX 78758. The listed phone number is (512) 482-0045.

What is Matthew Middaugh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Matthew Middaugh enrolled in Medicare?

Yes. Matthew Middaugh 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 Middaugh accept?

Health plans from Blue Cross and Blue Shield of Texas list Matthew Middaugh 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 Middaugh affiliated with any hospitals?

According to CMS data, Matthew Middaugh is affiliated with Albany Medical Center Hospital and Columbia Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Middaugh was last updated on December 19, 2017. 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.