MATTHEW L SUBLETTE MD
NPI 1639397359
Obstetrics & Gynecology - Gynecology in Paducah, KY

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2605 KENTUCKY AVE, SUITE 301, PADUCAH, KY 42003(270) 443-1220(270) 443-0023 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew L Sublette Md NPPES

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

MATTHEW L SUBLETTE MD (NPI 1639397359) is an individual gynecology provider in Paducah, Kentucky, licensed in Kentucky (TP285) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and is a graduate of University Of Louisville School Of Medicine (2003).

NPPES Registry Identity

NPI1639397359
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameMATTHEW L SUBLETTECredential: MD
Location Address2605 KENTUCKY AVE, SUITE 301Paducah, KY 42003-3800
Mailing Address2605 Kentucky Ave, Suite 306Paducah, KY 42003-3800 · (270) 415-7653 · Fax (270) 575-8359
Fax(270) 443-0023
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2003
Enumeration DateApril 20, 2007
Last NPPES UpdateAugust 18, 2016
NPI 1639397359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Licenses Licensed in KY · TP285 Licensed in WA · MD00048039
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
2605 KENTUCKY AVE, Paducah, KY 42003

Other Identifiers 5

Medicaid1639397359WA
Medicare PING8919765,G8919766WA
OtherP01257175WA · Rr Medicare
Other8944558WA · Cv
Other0220235WA · L&i

Accepted 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

Matthew L Sublette 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 ID446350201
PECOS Enrollment IDI20160921001779
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 3

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 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.
70 services39 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
50 services49 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.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
2605 KENTUCKY AVE, SUITE 103
PADUCAH, KY 42003
Nurse Practitioner (Family)
2605 KENTUCKY AVE, SUITE 601
PADUCAH, KY 42003
Nurse Practitioner (Family)
2605 KENTUCKY AVE, SUITE 202
PADUCAH, KY 42003
Dentist (Oral and Maxillofacial Surgery)
2605 KENTUCKY AVE, STE #302
PADUCAH, KY 42003
Obstetrics & Gynecology (Gynecology)
2605 KENTUCKY AVE, STE 402
PADUCAH, KY 42003
Dentist (Oral and Maxillofacial Surgery)
2605 KENTUCKY AVE, STE #302
PADUCAH, KY 42003
Pediatrics
2605 KENTUCKY AVE, DOCTOR'S BUILDING #3
PADUCAH, KY 42003
Pediatrics
2605 KENTUCKY AVE
PADUCAH, KY 42003

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 Sublette's NPI number?

The NPI number for Matthew Sublette is 1639397359. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Matthew Sublette located?

Matthew Sublette practices at 2605 Kentucky Ave Suite 301, Paducah, KY 42003. The listed phone number is (270) 443-1220.

What is Matthew Sublette's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Matthew Sublette enrolled in Medicare?

Yes. Matthew Sublette 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 Sublette accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Matthew Sublette 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 Sublette affiliated with any hospitals?

According to CMS data, Matthew Sublette is affiliated with Baptist Health Paducah.

When was this NPI record last updated?

The NPPES record for Matthew Sublette was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.