DR. MATTHEW JAMES KING M.D.
NPI 1568788198
Obstetrics & Gynecology in Chicago, IL

NPI Status: Active since April 07, 2010

Contact Information

676 N SAINT CLAIR ST STE 1800
CHICAGO, IL
ZIP 60611
Phone: (312) 573-3700
Fax: (312) 573-3705

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  • Individual
  • Male
  • Obstetrics & Gynecology
  • Accepts Insurance
  • PECOS Enrolled
  • Medicare Quality Reporting

About MATTHEW KING

This page provides the complete NPI Profile along with additional information for Matthew King, a women's health care provider established in Chicago, Illinois with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1568788198 assigned on April 2010. The practitioner's primary taxonomy code is 207V00000X with license number 036131806 (IL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1568788198
Provider Name
DR. MATTHEW JAMES KING M.D.
Gender
Male
Entity Type
Individual
Location Address
676 N SAINT CLAIR ST STE 1800 CHICAGO, IL 60611
Location Phone
(312) 573-3700
Location Fax
(312) 573-3705
Mailing Address
1938 W AUGUSTA BLVD APT 501 CHICAGO, IL 60622
Mailing Phone
(815) 441-2933
Is Sole Proprietor?
No
Enumeration Date
04-07-2010
Last Update Date
03-17-2024
Code Navigator

Women's health care providers like Matthew King treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Secondary Locations

  • 2391 Oak Myrtle Ln
    Wesley Chapel, FL 33544
    (813) 803-2219

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
036131806
License State
IL
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

MD472014 (PA)
2207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

33125 (WV)
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

ME143505 (FL)
4207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

306838 (NY)
5207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

25MA10960000 (NJ)
6207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

0101255704 (VA)
7207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

D77555 (MD)
8207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

C1-0024011 (DE)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AvMed Entrust Bronze 600 (2026) - HMO
  • AvMed Entrust Bronze 650 (2026) - HMO
  • AvMed Entrust Expanded Bronze Standard (2026) - HMO
  • AvMed Entrust Gold 125 (2026) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
  • AvMed Entrust Gold Standard (2026) - HMO
  • AvMed Entrust Platinum 25 (2026) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
  • AvMed Entrust Platinum Standard (2026) - HMO
  • AvMed Entrust Silver 350 (2026) - HMO
  • AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
  • AvMed Entrust Silver 550 (2026) - HMO
  • AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
  • AvMed Entrust Silver Standard (2026) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Matthew King is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60611 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $138.86
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $34.71
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.8
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $18.7
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Breast Cancer Screening 65% 23
Cervical Cancer Screening 90% 161
Closing the Referral Loop: Receipt of Specialist Report 33% 21
Documentation of Current Medications in the Medical Record 80% 220
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 33% 118
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 60% 192
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 82% 117
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85% 117
Provide Patients Electronic Access to Their Health Information 98% 121

Reviews for DR. MATTHEW JAMES KING M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568788198, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 4 + 8 + 1 + 6 + 1 + 1 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1568788198.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568788198, enumerated as an "individual" on April 07, 2010.

The provider is located at 676 N SAINT CLAIR ST STE 1800 CHICAGO, IL 60611 and the phone number is (312) 573-3700.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: AvMed. Please consult your insurance carrier or call the provider to verify.