MATTHEW AUSTIN
NPI 1730591397
Internal Medicine - Hematology & Oncology in New Haven, CT

Q: What is Matthew Austin's NPI number?

The NPI number for Matthew Austin is 1730591397. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Q: What is Matthew Austin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Austin was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 29, 2014PECOS EnrolledAccepts Medicare Assignment

93.27/100

CMS Quality Rating

20 YORK ST., DEPARTMENT OF MEDICINE, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 21, 2022, Apr 30, 2021, Jul 6, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Matthew Austin NPPES

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

MATTHEW AUSTIN (NPI 1730591397) is an individual hematology & oncology provider in New Haven, Connecticut, licensed in Rhode Island (MD15821) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1730591397

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameMATTHEW AUSTIN

Location Address20 YORK ST., DEPARTMENT OF MEDICINENew Haven, CT 06510

Mailing Address333 Cedar StNew Haven, CT 06510-3206

Phone(203) 688-4242

Sole ProprietorYes

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2014

Enumeration DateMay 29, 2014

Last NPPES UpdateSeptember 21, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2022

✔ NPI 1730591397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in RI · MD15821

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD15821 (RI), LP03110 (RI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

20 YORK ST., New Haven, CT 06510

Open in Google Maps ↗

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-4741 · Fax (401) 444-4445

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Austin 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 ID4183841679

PECOS Enrollment IDI20170626001856, I20221108003325

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

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

Mill Hill Medical Consultants Inc

Same address

Hospitalist

20 YORK ST, CB 2041
New Haven, CT 06510

Reassigned Medicare billing, Connecticut and Rhode Island enrollments
Medicare enrollment name: Northeast Medical Group Inc
Also billed through NPI 1043278351 (Rhode Island)
1,824 clinicians in this Medicare group

NPI 1952624769 (203) 688-4741

Yale University

0.4 mi

Advanced Practice Midwife

100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519

Reassigned Medicare billing, Connecticut enrollment
3,728 clinicians in this Medicare group

NPI 1124148887 (203) 737-5432

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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 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.

237 services65 patients

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.

194 services104 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

83 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

74 services55 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

54 services31 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

47 services38 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.

41 services41 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

39 services28 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.

26 services21 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.

22 services22 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

19 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

12 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Westerly Hospital

Acute Care Hospitals · Westerly, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410013

Location25 Wells StreetWesterly, RI 02891 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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

$183.10 typical visit price

range $60.82 – $183.10

Typical copayment $45.77 (range $15.20 – $45.77)

Most-billed visit code 99205

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

93.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.72

Promoting Interoperability

78.03

Improvement Activities

Other Providers at the Same Location NPPES 3

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

TAMANNA HOSSIN MD

Emergency Medicine

20 YORK ST., TOMPKINS 226
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

DR. ANUSHA SUNDARARAJAN M.D.

Internal Medicine

20 YORK ST., DEPARTMENT OF NEPHROLOGY
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

PHILLIP AMBROSE WERMAN CRNA

Nurse Anesthetist, Certified Registered

20 YORK ST., YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

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 Austin's NPI number?

The NPI number for Matthew Austin is 1730591397. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Matthew Austin located?

Matthew Austin practices at 20 York St. Department Of Medicine, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Matthew Austin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Matthew Austin enrolled in Medicare?

Yes. Matthew Austin 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 Austin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Austin reassigns Medicare benefits to 2 organizations: Mill Hill Medical Consultants Inc (New Haven, CT) and Yale University (New Haven, CT). 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 Austin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Austin accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew Austin 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 Austin affiliated with any hospitals?

According to CMS data, Matthew Austin is affiliated with South County Hospital Inc, The Miriam Hospital and Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Austin was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.