DR. MATTHEW J FAGAN MD
NPI 1538184791
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Newark, DE

Q: What is Matthew Fagan's NPI number?

The NPI number for Matthew Fagan is 1538184791. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Matthew Fagan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Fagan was last updated on May 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment

4375 OGLETOWN STANTON ROAD, SUITE 1208, NEWARK, DE 19713(302) 623-4055(302) 623-4056 Get Directions Write a Review

NPPES record last updated: May 30, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Matthew J Fagan Md NPPES

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

DR. MATTHEW J FAGAN MD (NPI 1538184791) is an individual urogynecology and reconstructive pelvic surgery provider in Newark, Delaware, licensed in Delaware (C10011078) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1999).

NPPES Registry Identity

NPI1538184791

Entity TypeIndividualMale

Primary Taxonomy207VF0040X

Provider Legal NameDR. MATTHEW J FAGANCredential: MD

Location Address4375 OGLETOWN STANTON ROAD, SUITE 1208Newark, DE 19713-2089

Mailing Address200 Hygeia DrNewark, DE 19713-2049

Phone(302) 623-4055

Fax(302) 623-4056

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1999

Enumeration DateJuly 12, 2006

Last NPPES UpdateMay 30, 2017

✔ NPI 1538184791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

Licenses✔ Licensed in DE · C10011078✔ Licensed in PA · MD429235

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License C10011078 (DE), MD429235 (PA)

Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License MD429235 (PA), C1-0011078 (DE)

4375 OGLETOWN STANTON ROAD, Newark, DE 19713

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Other Identifiers 3

Medicare PIN102215HK1PA

Medicare UPINH94982

Medicaid1016687780001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew J Fagan 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 ID143291286

PECOS Enrollment IDI20060808000341, I20140925000627

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.

Medicare Billing Reassignments

Medicare enrollment records show Matthew Fagan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christiana Care Health Services Inc

0.3 mi

Gynecologic Oncology

4701 OGLETOWN STANTON RD, HELEN F. GRAHAM CANCER CENTER WEST, SUITE 2335
Newark, DE 19713

Reassigned Medicare billing, Delaware and Pennsylvania enrollments
Also billed through NPI 1609409861 (Pennsylvania)
1,531 clinicians in this Medicare group

NPI 1174508410 (302) 623-4285

Christiana Care Pennsylvania Inc

14 mi

Cardiovascular Disease

161 WILMINGTON W CHESTER PIKE
Chadds Ford, PA 19317

Reassigned Medicare billing, Pennsylvania enrollment
217 clinicians in this Medicare group

NPI 1013740745 (610) 361-1144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

63 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 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.

48 services45 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

29 services18 patients

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

29 services25 patients

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

29 services27 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

14 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

13 services13 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

13 services13 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

12 services12 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

12 services12 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

12 services12 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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

$131.15 typical visit price

range $57.12 – $173.08

Typical copayment $32.78 (range $14.28 – $43.27)

Most-billed visit code 99204

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

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.

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 Fagan's NPI number?

The NPI number for Matthew Fagan is 1538184791. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Matthew Fagan located?

Matthew Fagan practices at 4375 Ogletown Stanton Road Suite 1208, Newark, DE 19713. The listed phone number is (302) 623-4055.

What is Matthew Fagan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Matthew Fagan enrolled in Medicare?

Yes. Matthew Fagan 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.

Which organizations bill Medicare for Matthew Fagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Fagan reassigns Medicare benefits to 2 organizations: Christiana Care Health Services Inc (Newark, DE) and Christiana Care Pennsylvania Inc (Chadds Ford, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Fagan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Matthew Fagan 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.

When was this NPI record last updated?

The NPPES record for Matthew Fagan was last updated on May 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.