DR. OTAKHON MATCHANOV MD
NPI 1578158333
Hospitalist in Fort Myers, FL
About Dr. Otakhon Matchanov Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OTAKHON MATCHANOV MD (NPI 1578158333) is an individual hospitalist provider in Fort Myers, Florida, licensed in Florida (ME182444) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Gulf Coast Medical Center Lee Health, and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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. Otakhon Matchanov 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.
Medicare Billing Reassignment
Medicare enrollment records show Otakhon Matchanov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Myers, FL 33908
- Reassigned Medicare billing, Florida enrollment
- 1,899 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gulf Coast Medical Center Lee Health
Acute Care Hospitals · Fort Myers, FLCape Coral Hospital
Acute Care Hospitals · Cape Coral, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MYERS, FL 33919
FORT MYERS, FL 33919
FORT MYERS, FL 33919
FORT MYERS, FL 33919
FORT MYERS, FL 33919
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 Otakhon Matchanov's NPI number?
The NPI number for Otakhon Matchanov is 1578158333. It was assigned to this individual provider in the NPPES registry on March 3, 2021.
Where is Otakhon Matchanov located?
Otakhon Matchanov practices at 12600 Creekside Ln Ste 2, Fort Myers, FL 33919. The listed phone number is (239) 343-9235.
What is Otakhon Matchanov's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Otakhon Matchanov enrolled in Medicare?
Yes. Otakhon Matchanov 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 organization bills Medicare for Otakhon Matchanov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Otakhon Matchanov reassigns Medicare benefits to Lee Health System Inc (Fort Myers, FL). The 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 Otakhon Matchanov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Otakhon Matchanov affiliated with any hospitals?
According to CMS data, Otakhon Matchanov is affiliated with Gulf Coast Medical Center Lee Health and Cape Coral Hospital.
When was this NPI record last updated?
The NPPES record for Otakhon Matchanov was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Dr. Otakhon Matchanov, MD · NPI 1578158333
Hospitalist physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since March 3, 2021.
## Identity
- **NPI:** 1578158333 (Entity type: Individual)
- **Enumerated:** March 3, 2021
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** ME182444 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12600 CREEKSIDE LN STE 2, Fort Myers, FL 33919-3353
- **Phone:** (239) 343-9235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lee Health System Inc (NPI 1942058557, Fort Myers, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** August 21, 2026
- **Other identifiers:** Medicaid 131804200 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1578158333) · Data from the CMS NPPES public registry.