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MATTHEW CHASE LUSTIG
NPI 1679006746
Pediatrics - Neurodevelopmental Disabilities in Columbia, SC

Active since April 06, 2017PECOS Enrolled
9 RICHLAND MEDICAL PARK DR STE 110, COLUMBIA, SC 29203(803) 434-7951(803) 758-0134 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Chase Lustig NPPES

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

MATTHEW CHASE LUSTIG (NPI 1679006746) is an individual neurodevelopmental disabilities provider in Columbia, South Carolina, licensed in South Carolina (87712) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1679006746
Entity TypeIndividualMale
Primary Taxonomy2080P0008X
Provider Legal NameMATTHEW CHASE LUSTIG
Location Address9 RICHLAND MEDICAL PARK DR STE 110Columbia, SC 29203-6859
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(803) 434-7951
Fax(803) 758-0134
Sole ProprietorNo
Enumeration DateApril 6, 2017
Last NPPES UpdateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1679006746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in SC · 87712
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9 RICHLAND MEDICAL PARK DR STE 110, Columbia, SC 29203
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Secondary Practice Location 1

Location 1625 19th St SBirmingham, AL 35233-1900 · Phone (205) 996-7859

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Chase Lustig is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINE MARIE DEMARCO PA-C
Physician Assistant
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC 29203
Richland County (803) 434-7961
MARGARET ALEXANDER GRAY MD
Pediatrics (Pediatric Cardiology)
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC 29203
Richland County (803) 434-7940
DR. LEAH MITCHELL DNP APRN CPNP-PC
Nurse Practitioner (Pediatrics)
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC 29203
Richland County (803) 434-7961
PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Pediatrics (Pediatric Cardiology)
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC 29203
Richland County (803) 434-7940
JORDANN LEAH STAPLES
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC 29203
Richland County (803) 434-7961
MARY LEE GREGORY M.D./PH.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC 29203
Richland County (803) 434-7961
ALYSSA S COGDILL FNP
Nurse Practitioner
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC 29203
Richland County (803) 434-7961
WESTON LEE RICE APRN
Nurse Practitioner (Acute Care)
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC 29203
Richland County (803) 434-7961

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 Lustig's NPI number?

The NPI number for Matthew Lustig is 1679006746. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Matthew Lustig located?

Matthew Lustig practices at 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203. The listed phone number is (803) 434-7951.

What is Matthew Lustig's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Matthew Lustig enrolled in Medicare?

Yes. Matthew Lustig is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Lustig accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Matthew Lustig 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 Lustig was last updated on June 7, 2022. 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.