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DR. THOMAS D MATTHEWS M.D.
NPI 1679516629
Orthopaedic Surgery in Washington, MO

Active since June 14, 2006PECOS Enrolled
901 PATIENTS FIRST DR, WASHINGTON, MO 63090(636) 239-9011(636) 239-0433 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas D Matthews M.d. NPPES

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

DR. THOMAS D MATTHEWS M.D. (NPI 1679516629) is an individual orthopaedic surgery provider in Washington, Missouri, licensed in Missouri (R9E37) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679516629
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THOMAS D MATTHEWSCredential: M.D.
Location Address901 PATIENTS FIRST DRWashington, MO 63090-4700
Mailing Address901 Patients First DrWashington, MO 63090-4700 · (636) 239-9011 · Fax (636) 239-0433
Phone(636) 239-9011
Fax(636) 239-0433
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateDecember 2, 2014
✔ NPI 1679516629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MO · R9E37
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
901 PATIENTS FIRST DR, Washington, MO 63090
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Other Identifiers 6

Medicare ID-Type Unspecified021012943
Medicare PIN021012943
Medicaid202510004MO
Medicare PINMA2536026MO
Other200038073Railroad Medicare
Medicare UPINA10792

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Dr. Thomas D Matthews M.d. 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.

Areas of Expertise CMS Part B claims 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
702 services105 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
175 services109 patients
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.
101 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services48 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
50 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63090 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier22 claims433 services$18.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MERCY CLINIC OPHTHALMOLOGY LLC
Ophthalmology
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 231-3651
MRS. CYNTHIA GRACE LOHRER PT/CHT
Physical Therapist
901 PATIENTS FIRST DR, SUITE 2600
WASHINGTON, MO 63090
Franklin County (636) 390-1700
AMY LEE SWOBODA FNP-BC
Nurse Practitioner (Family)
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 239-4100
SUDHANSHU GOGIA MD
Internal Medicine (Hepatology)
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 239-7344
KATARZYNA ANNE KOHLER DO
Family Medicine
901 PATIENTS FIRST DR, SUITE 1200
WASHINGTON, MO 63090
Franklin County (636) 390-1777
VICTORIA L YENZER NP
Nurse Practitioner (Adult Health)
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 239-7500
PATIENTS FIRST HEALTH CARE LLC
Clinic/Center (Urgent Care)
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 390-1777
DR. MARISSA CHRISTINE STOCK MD
Pediatrics
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 231-3690

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 Thomas Matthews's NPI number?

The NPI number for Thomas Matthews is 1679516629. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Thomas Matthews located?

Thomas Matthews practices at 901 Patients First Dr, Washington, MO 63090. The listed phone number is (636) 239-9011.

What is Thomas Matthews's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Matthews enrolled in Medicare?

Yes. Thomas Matthews is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Matthews accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Thomas Matthews 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 Thomas Matthews was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.