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MR. MATTHEW MISKIMON M.D., PH.D.
NPI 1649401829
Emergency Medicine in New York, NY

Active since August 05, 2009PECOS EnrolledAccepts Medicare Assignment
56.99/100
CMS Quality Rating
550 1ST AVE, NEW YORK, NY 10016(212) 263-7300(212) 263-7002 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2024, Jul 17, 2023, Jun 9, 2023 and 2 more (5 updates tracked since 2022).

About Mr. Matthew Miskimon M.d., Ph.d. NPPES

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

MR. MATTHEW MISKIMON M.D., PH.D. (NPI 1649401829) is an individual emergency medicine provider in New York, New York, licensed in Massachusetts (260998) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Monadnock Community Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2010).

NPPES Registry Identity

NPI1649401829
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. MATTHEW MISKIMONCredential: M.D., PH.D.
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address42 Powder View CtNottingham, MD 21236-4796 · (410) 530-7327
Phone(212) 263-7300
Fax(212) 263-7002
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2010
Enumeration DateAugust 5, 2009
Last NPPES UpdateDecember 13, 20245 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1649401829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MA · 260998✔ Licensed in RI · MD16193✔ Licensed in PA · MD451632✔ Licensed in NH · 18809✔ Licensed in MI · 4301104712✔ Licensed in NJ · 25MA09507700
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
550 1ST AVE, New York, NY 10016
Open in Google Maps ↗

Other Identifiers 1

Medicaid0550361NJ

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

Mr. Matthew Miskimon M.d., Ph.d. 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 ID8527286061
PECOS Enrollment IDI20160902001059, I20191223001691, I20231003000870, I20250813002948
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
224 services220 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services48 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Monadnock Community Hospital

Critical Access Hospitals · Peterborough, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301309
Location452 Old Street RoadPeterborough, NH 03458 · Hillsborough County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

56.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.92
Improvement Activities40
Cost44.8

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.

DR. SHARON URALIL D.O.
Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. DIANA TREVAS FLEISHER
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. MONICA GUPTA M.D.
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
New York County (212) 263-6397
CHRISTINE CHAN M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MATTHEW CHIARELLO MD
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MEGAN ELIZABETH JENKINS M.D.
Surgery
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-7300
DR. MANAN PATEL M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
VICKY CHIANG
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506

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 Miskimon's NPI number?

The NPI number for Matthew Miskimon is 1649401829. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Matthew Miskimon located?

Matthew Miskimon practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-7300.

What is Matthew Miskimon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Miskimon enrolled in Medicare?

Yes. Matthew Miskimon 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.

Is Matthew Miskimon affiliated with any hospitals?

According to CMS data, Matthew Miskimon is affiliated with Monadnock Community Hospital, Bayshore Medical Center, Our Lady Of Lourdes Memorial Hospital, Inc and South County Hospital Inc.

When was this NPI record last updated?

The NPPES record for Matthew Miskimon was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.