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DR. MATTHEW ROSS ALBERT MD
NPI 1699729244
Colon & Rectal Surgery in Altamonte Springs, FL

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
661 E ALTAMONTE DR, SUITE 220, ALTAMONTE SPRINGS, FL 32701(407) 303-5191(407) 303-5193 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew Ross Albert Md NPPES

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

DR. MATTHEW ROSS ALBERT MD (NPI 1699729244) is an individual colon & rectal surgery provider in Altamonte Springs, Florida, licensed in Florida (ME89714) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Tufts University School Of Medicine (1998).

NPPES Registry Identity

NPI1699729244
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. MATTHEW ROSS ALBERTCredential: MD
Location Address661 E ALTAMONTE DR, SUITE 220Altamonte Springs, FL 32701-5105
Mailing Address661 E Altamonte Dr, Suite 220Altamonte Springs, FL 32701-5105 · (407) 303-5191 · Fax (407) 303-5193
Phone(407) 303-5191
Fax(407) 303-5193
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1998
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 17, 2007
✔ NPI 1699729244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in FL · ME89714
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
661 E ALTAMONTE DR, Altamonte Springs, FL 32701
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Other Identifiers 4

OtherP00173840Railroad Medicare
Medicare UPINI07038
Other43139FL · Bcbs
Medicare PIN43139ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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 and accepts Medicare assignment

Dr. Matthew Ross Albert 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 ID1355328311
PECOS Enrollment IDI20040707000856
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 12

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.
115 services87 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.
57 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services25 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
25 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32701 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
8 suppliers27 claims670 services$4.85 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
6 suppliers18 claims445 services$6.00 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
8 suppliers25 claims780 services$3.46 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
7 suppliers18 claims700 services$0.23 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.

CRAIG J RUSKIN M.D.
Surgery
661 E ALTAMONTE DR, SUITE 120
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 331-9595
DR. MIGUEL LUGO M.D.
Ophthalmology
661 E ALTAMONTE DR, SUITE 223
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 260-2255
DR. JOSEPH MICHAEL YURSO M.D.
Surgery
661 E ALTAMONTE DR, SUITE 323
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 834-6965
EDWIN M VILLALOBOS MD PA
Physical Medicine & Rehabilitation (Pain Medicine)
661 E ALTAMONTE DR, SUITE 231
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 331-0771
ALLERGY ASTHMA SPECIALISTS, PA
Allergy & Immunology (Allergy)
661 E ALTAMONTE DR, SUITE 315
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 339-3002
DR. JOSE R. ARIAS JR. MD
Allergy & Immunology
661 E ALTAMONTE DR, SUITE 315
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 339-3002
DR. JEFFERY RAY CRYAR M.D.
Surgery
661 E ALTAMONTE DR, SUITE 323
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 834-6965
DR. ANDREW STUART BRAUNSTEIN MD
Surgery
661 E ALTAMONTE DR, SUITE 216
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 339-4324

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 Albert's NPI number?

The NPI number for Matthew Albert is 1699729244. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Matthew Albert located?

Matthew Albert practices at 661 E Altamonte Dr Suite 220, Altamonte Springs, FL 32701. The listed phone number is (407) 303-5191.

What is Matthew Albert's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Matthew Albert enrolled in Medicare?

Yes. Matthew Albert 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 Albert accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Matthew Albert 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 Albert affiliated with any hospitals?

According to CMS data, Matthew Albert is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Matthew Albert was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.