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MATTHEW ANTALIS
NPI 1619470069
Internal Medicine in Lima, OH

Active since March 12, 2018PECOS EnrolledAccepts Medicare Assignment
730 W MARKET ST, LIMA, OH 45801(419) 226-4431(419) 226-4315 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2021, Mar 12, 2018 (2 updates tracked since 2018).

About Matthew Antalis NPPES

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

MATTHEW ANTALIS (NPI 1619470069) is an individual internal medicine provider in Lima, Ohio, licensed in Ohio (34015164) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1619470069
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATTHEW ANTALIS
Location Address730 W MARKET STLima, OH 45801-4602
Mailing AddressPo Box 639882Cincinnati, OH 45263-9882
Phone(419) 226-4431
Fax(419) 226-4315
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 12, 2018
Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
✔ NPI 1619470069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34015164
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.
730 W MARKET ST, Lima, OH 45801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Matthew Antalis 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 ID6305249939
PECOS Enrollment IDI20210720003050
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

2

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

Knd Development 59 LLC
0.1 mi
Hospitalist
730 W MARKET ST
Lima, OH 45801
  • Reassigned Medicare billing, Ohio enrollment
  • 85 clinicians in this Medicare group
NPI 1679861249 (419) 224-1888
Mercy Health Physicians Lima Specialty Care LLC
1.4 mi
Surgery
830 W HIGH ST STE 206
Lima, OH 45801
  • Reassigned Medicare billing, Ohio enrollment
  • 439 clinicians in this Medicare group
NPI 1518589803 (888) 696-3541

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 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 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.
128 services54 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.
90 services90 patients
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.
83 services45 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.
31 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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
1 supplier17 claims17 services$91.08 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.

NADIA GHALLAB
Internal Medicine
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 226-4310
DR. NANCY RAMPE PHARMD, MHA
Pharmacist
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 996-5593
DR. JEFF JUNIOR NERESTANT DPM
Student in an Organized Health Care Education/Training Program
730 W MARKET ST
LIMA, OH 45801
Allen County (407) 202-0269
SHEZORE BHATTI DO
Student in an Organized Health Care Education/Training Program
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
TODD HIXSON CCP
Perfusionist
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
NICOLE MARIE OUATTARA FNP-C
Nurse Practitioner
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
DR. MATTHEW T KUHN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
KRISTA AMSTUTZ PHARM D
Pharmacist
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 226-9025

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 Antalis's NPI number?

The NPI number for Matthew Antalis is 1619470069. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Where is Matthew Antalis located?

Matthew Antalis practices at 730 W Market St, Lima, OH 45801. The listed phone number is (419) 226-4431.

What is Matthew Antalis's specialty?

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

Is Matthew Antalis enrolled in Medicare?

Yes. Matthew Antalis 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 Antalis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Antalis reassigns Medicare benefits to 2 organizations: Knd Development 59 LLC (Lima, OH) and Mercy Health Physicians Lima Specialty Care LLC (Lima, OH). 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 Antalis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Antalis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Matthew Antalis 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 Antalis affiliated with any hospitals?

According to CMS data, Matthew Antalis is affiliated with Grand Lake Health System and Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Antalis was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.