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MATTHEW J WAXMAN DPM
NPI 1699203323
Podiatrist in Middletown, DE

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
78.87/100
CMS Quality Rating
118 SANDHILL DR STE 204, MIDDLETOWN, DE 19709(302) 378-1022 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2018, May 25, 2017 (2 updates tracked since 2017).

About Matthew J Waxman Dpm NPPES

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

MATTHEW J WAXMAN DPM (NPI 1699203323) is an individual podiatrist in Middletown, Delaware, licensed in Delaware (E1-0000253) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1699203323
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMATTHEW J WAXMANCredential: DPM
Location Address118 SANDHILL DR STE 204Middletown, DE 19709
Mailing Address1010 N Bancroft Pkwy Ste 12Wilmington, DE 19805-2668 · (302) 658-1129
Phone(302) 378-1022
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 25, 2017
Last NPPES UpdateAugust 16, 20182 updates tracked since enumeration
✔ NPI 1699203323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in DE · E1-0000253
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
118 SANDHILL DR STE 204, Middletown, DE 19709
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

Matthew J Waxman Dpm 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 ID5890045074
PECOS Enrollment IDI20180917001711
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 4

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.

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.
67 services24 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.
62 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services14 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19709 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

78.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.2
Promoting Interoperability88
Improvement Activities40
Cost57.04

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims480 services$0.09 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims2,280 services$0.36 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 2

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

DR. USMAN T AKRAM DPM
Podiatrist
118 SANDHILL DR STE 204
MIDDLETOWN, DE 19709
New Castle County (302) 378-1022
BRANDYWINE PODIATRY PA
Durable Medical Equipment & Medical Supplies
118 SANDHILL DR STE 204
MIDDLETOWN, DE 19709
New Castle County (302) 378-1022

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 Waxman's NPI number?

The NPI number for Matthew Waxman is 1699203323. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Matthew Waxman located?

Matthew Waxman practices at 118 Sandhill Dr Ste 204, Middletown, DE 19709. The listed phone number is (302) 378-1022.

What is Matthew Waxman's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Matthew Waxman enrolled in Medicare?

Yes. Matthew Waxman 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.

What insurance does Matthew Waxman accept?

Health plans from AmeriHealth Caritas Next list Matthew Waxman 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 Matthew Waxman affiliated with any hospitals?

According to CMS data, Matthew Waxman is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Matthew Waxman was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.