MATTHEW MICHAEL DRAELOS MD, PHD
NPI 1720723240
Student in an Organized Health Care Education/Training Program in Durham, NC
About Matthew Michael Draelos Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW MICHAEL DRAELOS MD, PHD (NPI 1720723240) is an individual student in an organized health care education/training program in Durham, North Carolina, licensed in North Carolina (310207) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Duke University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
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
Matthew Michael Draelos Md, Phd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Draelos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 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.
Duke University Hospital
Acute Care Hospitals · Durham, NCOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DURHAM, NC 27710
DURHAM, NC 27710
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 Draelos's NPI number?
The NPI number for Matthew Draelos is 1720723240. It was assigned to this individual provider in the NPPES registry on April 29, 2022.
Where is Matthew Draelos located?
Matthew Draelos practices at 40 Duke Medicine Cir # 3K, Durham, NC 27710. The listed phone number is (919) 684-3432.
What is Matthew Draelos's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Matthew Draelos enrolled in Medicare?
Yes. Matthew Draelos 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 Matthew Draelos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Draelos reassigns Medicare benefits to 2 organizations: Duke Health Integrated Practice, Inc. (Durham, NC) and Duke University Health System, Inc. (Durham, NC). 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 Matthew Draelos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Draelos accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Matthew Draelos 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 Draelos affiliated with any hospitals?
According to CMS data, Matthew Draelos is affiliated with Duke University Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Draelos was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.