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

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: October 25, 2026.

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
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

Accepted 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 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

Medicare Billing Reassignments

3

Medicare enrollment records show Matthew Koeckert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3735 GLENLAKE DR STE 250
Charlotte, NC 28208
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Anesthesiology Associates Of The Carolinas PC
  • 51 clinicians in this Medicare group
Anesthesiology
3735 GLENLAKE DR STE 250
Charlotte, NC 28208
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Providence Anesthesiology Associates PA
  • 59 clinicians in this Medicare group
Anesthesiology
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,097 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.

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
Quality52.37
Improvement Activities40
Cost68.87

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.

Technician/Technologist
2825 RANDOLPH RD
CHARLOTTE, NC 28211
Anesthesiology (Pain Medicine)
2825 RANDOLPH RD
CHARLOTTE, NC 28211
Nurse Anesthetist, Certified Registered
2825 RANDOLPH RD
CHARLOTTE, NC 28211
Anesthesiology
2825 RANDOLPH RD
CHARLOTTE, NC 28211
Nurse Anesthetist, Certified Registered
2825 RANDOLPH RD
CHARLOTTE, NC 28211
Nurse Anesthetist, Certified Registered
2825 RANDOLPH RD
CHARLOTTE, NC 28211
Anesthesiology
2825 RANDOLPH RD
CHARLOTTE, NC 28211
Nurse Anesthetist, Certified Registered
2825 RANDOLPH RD
CHARLOTTE, NC 28211

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 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.

Where is Matthew Koeckert located?

Matthew Koeckert practices at 2825 Randolph Rd, Charlotte, NC 28211. The listed phone number is (704) 377-1647.

What is Matthew Koeckert's specialty?

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

Is Matthew Koeckert enrolled in Medicare?

Yes. Matthew Koeckert 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 Koeckert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Koeckert reassigns Medicare benefits to 3 organizations: Anesthesiology Associates Of The Carolinas, P.C. (Charlotte, NC), Providence Anesthesiology Associates, P.A. (Charlotte, NC) and East Carolina Anesthesia Associates, PLLC (Greenville, NC). 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 Koeckert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Koeckert accept?

Health plans from Cigna Healthcare list Matthew Koeckert 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.

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 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.