DR. MATIN NEKZAD MD
NPI 1679548689
Family Medicine in Carterville, IL

Q: What is Matin Nekzad's NPI number?

The NPI number for Matin Nekzad is 1679548689. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Matin Nekzad's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Matin Nekzad was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 22, 2006PECOS EnrolledAccepts Medicare Assignment

1006 S DIVISION ST, CARTERVILLE, IL 62918(618) 985-4841(618) 985-4535 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Oct 20, 2022, Dec 11, 2020 (3 updates tracked since 2020).

On this page

About Dr. Matin Nekzad Md NPPES

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

DR. MATIN NEKZAD MD (NPI 1679548689) is an individual family medicine provider in Carterville, Illinois, licensed in Illinois (036098147) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1679548689

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MATIN NEKZADCredential: MD

Location Address1006 S DIVISION STCarterville, IL 62918-1539

Mailing AddressPo Box 577Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-6860

Phone(618) 985-4841

Fax(618) 985-4535

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateFebruary 22, 2006

Last NPPES UpdateJune 4, 20243 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1679548689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036098147

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License 036.098147 (IL)

1006 S DIVISION ST, Carterville, IL 62918

Open in Google Maps ↗

Other Identifiers 3

Medicaid036098147IL

OtherCF3444IL · Medicare Railroad

Medicaid370966854004IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Dr. Matin Nekzad Md 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 ID6002852878

PECOS Enrollment IDI20050701000109

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.

Hospital Affiliations CMS Care Compare 4

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140184

Location3333 W DeyoungMarion, IL 62959 · Williamson County

Emergency services

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140210

Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62918 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

59%1,053 patients3/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

57%1,858 patients3/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

45%792 patients2/55-star benchmark: 100%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

29%3,407 patients2/55-star benchmark: 88%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

19 suppliers89 claims213 services$4.70 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers30 claims37 services$0.77 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers18 claims18 services$95.00 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers19 claims52 services$34.42 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers13 claims13 services$20.65 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers17 claims17 services$16.59 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers21 claims112 services$2.14 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers13 claims13 services$55.47 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers42 claims42 services$17.30 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier14 claims14 services$14.76 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers36 claims36 services$4.82 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier15 claims15 services$42.06 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers84 claims84 services$90.36 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$32.44 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier15 claims900 services$6.57 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers45 claims8,143 services$0.03 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers22 claims115,500 services$0.15 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers16 claims16 services$168.98 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$33.26 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

9 suppliers66 claims66 services$23.38 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 17

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

KATIE SURMAN RD

Dietitian, Registered