MATTHEW ANTHONY KOECKERT RN
NPI 1649706052
Nurse Anesthetist, Certified Registered in Charlotte, NC

Q: What is Matthew Koeckert's NPI number?

The NPI number for Matthew Koeckert is 1649706052. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Q: What is Matthew Koeckert's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Koeckert was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 04, 2017Accepts Medicare Assignment

64.46/100

CMS Quality Rating

2825 RANDOLPH RD, CHARLOTTE, NC 28211(704) 377-1647(704) 358-8267 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Matthew Anthony Koeckert Rn NPPES

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

MATTHEW ANTHONY KOECKERT RN (NPI 1649706052) is an individual nurse anesthetist, certified registered in Charlotte, North Carolina, licensed in North Carolina (5671) and active in the NPI registry since May 2017. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1649706052

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMATTHEW ANTHONY KOECKERTCredential: RN

Location Address2825 RANDOLPH RDCharlotte, NC 28211-1018

Mailing Address2080 W Arlington Blvd Ste BGreenville, NC 27834-3770 · (252) 752-2140 · Fax (252) 689-6502

Phone(704) 377-1647

Fax(704) 358-8267

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 4, 2017

Last NPPES UpdateSeptember 10, 2021

NPPES CertifiedSeptember 10, 2021

✔ NPI 1649706052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in NC · 5671

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 85106 (WV)

2825 RANDOLPH RD, Charlotte, NC 28211

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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 Anthony Koeckert Rn 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 ID8325318009

PECOS Enrollment IDI20170728000997

Areas of Expertise CMS Part B claims

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.

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

64.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

52.37

Improvement Activities

Cost

68.87

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.

MS. KELLI ENSLEY FERGUSON CNA II

Technician/Technologist