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MATTHEW RYAN CIRULLO DO
NPI 1770924516
Family Medicine in Charlotte, NC

Active since July 09, 2013Opted out of Medicare · through Oct 1, 2027
95.35/100
CMS Quality Rating
12016 LEMMOND FARM DR, STE 200, CHARLOTTE, NC 28227(704) 863-0600 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 10 more (13 updates tracked since 2016).

About Matthew Ryan Cirullo Do NPPES

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

MATTHEW RYAN CIRULLO DO (NPI 1770924516) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2016-00223) and active in the NPI registry since July 2013. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770924516
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW RYAN CIRULLOCredential: DO
Location Address12016 LEMMOND FARM DR, STE 200Charlotte, NC 28227-8353
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 863-0600
Sole ProprietorNo
Enumeration DateJuly 9, 2013
Last NPPES UpdateJuly 15, 202413 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
✔ NPI 1770924516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2016-00223
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.
12016 LEMMOND FARM DR, Charlotte, NC 28227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Matthew Ryan Cirullo Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 2

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.
69 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28227 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
31%116 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
27%279 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
18%91 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier14 claims2,100 services$1.67 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.20 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.34 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$165.63 avg. paid by Medicare
Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each E1225
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$29.12 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 7

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

JORDAN RENEE BAKER PA
Physician Assistant
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9615
KIESHA NICOLE CHERRY PA
Physician Assistant
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9615
JAMES PHILIP GRIGGS JR. MD
Family Medicine
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9615
SANDRA CARPENTER TEAL FNP
Nurse Practitioner (Family)
12016 LEMMOND FARM DR, STE 200
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-0600
SHAKIMA NIXON FNP
Nurse Practitioner (Family)
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9615
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9600
CARSHENA MONIQUE WILLIAMS FNP
Nurse Practitioner (Family)
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9615

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 Cirullo's NPI number?

The NPI number for Matthew Cirullo is 1770924516. It was assigned to this individual provider in the NPPES registry on July 9, 2013.

Where is Matthew Cirullo located?

Matthew Cirullo practices at 12016 Lemmond Farm Dr Ste 200, Charlotte, NC 28227. The listed phone number is (704) 863-0600.

What is Matthew Cirullo's specialty?

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

Is Matthew Cirullo enrolled in Medicare?

No. Matthew Cirullo has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Matthew Cirullo accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 1 other insurer list Matthew Cirullo 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.

When was this NPI record last updated?

The NPPES record for Matthew Cirullo was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.