MICHAEL DAVID MATTHEWS
NPI 1689020349
Nurse Anesthetist, Certified Registered in Lexington, KY

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE ST, LEXINGTON, KY 40536(859) 323-5956 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2021, Jul 1, 2016, May 11, 2016 (3 updates tracked since 2016).

About Michael David Matthews NPPES

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

MICHAEL DAVID MATTHEWS (NPI 1689020349) is an individual nurse anesthetist, certified registered in Lexington, Kentucky, licensed in Kentucky (3010356) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1689020349
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL DAVID MATTHEWS
Location Address800 ROSE STLexington, KY 40536
Mailing Address299 Kings Daughters DrFrankfort, KY 40601-6514 · (502) 875-5240
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 11, 2016
Last NPPES UpdateOctober 12, 20213 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1689020349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KY · 3010356
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.
800 ROSE ST, Lexington, KY 40536

Secondary Practice Location 1

Location 1425 Lewis Hargett CirLexington, KY 40503-3590 · Phone (859) 268-1030 · Fax (859) 269-4120

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

Michael David Matthews 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 ID1951696459
PECOS Enrollment IDI20160823002033
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Matthews reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
800 ROSE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
Anesthesiology
299 KINGS DAUGHTER DRIVE
Frankfort, KY 40601
  • Reassigned Medicare billing, Kentucky enrollment
  • 34 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.

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST, MS117
LEXINGTON, KY 40536
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Family)
800 ROSE ST
LEXINGTON, KY 40536
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
800 ROSE ST, MN604
LEXINGTON, KY 40536
Hospitalist
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Family)
800 ROSE ST, CC417
LEXINGTON, KY 40536

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 Michael Matthews's NPI number?

The NPI number for Michael Matthews is 1689020349. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Michael Matthews located?

Michael Matthews practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-5956.

What is Michael Matthews's specialty?

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

Is Michael Matthews enrolled in Medicare?

Yes. Michael Matthews 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 Michael Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Matthews reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Bluegrass Anesthesia Services, Psc (Frankfort, KY). 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 Michael Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Matthews accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Michael 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.

Is Michael Matthews affiliated with any hospitals?

According to CMS data, Michael Matthews is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Michael Matthews was last updated on October 12, 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.