Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW MIRACLE
NPI 1740862531
Family Medicine in Charlottesville, VA

Active since April 22, 2021PECOS Enrolled
2955 IVY RD STE 205, CHARLOTTESVILLE, VA 22903(434) 243-4500(434) 297-9469 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2026, Mar 20, 2023, Apr 22, 2021 (3 updates tracked since 2021).

About Matthew Miracle NPPES

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

MATTHEW MIRACLE (NPI 1740862531) is an individual family medicine provider in Charlottesville, Virginia, licensed in Virginia (0101287542) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740862531
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW MIRACLE
Location Address2955 IVY RD STE 205Charlottesville, VA 22903-9353
Mailing Address2955 Ivy Rd Ste 205Charlottesville, VA 22903-9353 · (434) 243-4500 · Fax (434) 297-9469
Fax(434) 297-9469
Sole ProprietorNo
Enumeration DateApril 22, 2021
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1740862531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101287542
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2955 IVY RD STE 205, Charlottesville, VA 22903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Miracle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES

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

Family Medicine
2955 IVY RD STE 205
CHARLOTTESVILLE, VA 22903

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 Miracle's NPI number?

The NPI number for Matthew Miracle is 1740862531. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Matthew Miracle located?

Matthew Miracle practices at 2955 Ivy Rd Ste 205, Charlottesville, VA 22903. The listed phone number is (434) 243-4500.

What is Matthew Miracle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Miracle enrolled in Medicare?

Yes. Matthew Miracle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Miracle was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.