MATTHEW JOSEPH HUMMEL M.D.
NPI 1780644526
Family Medicine in Fountain Hills, AZ

Q: What is Matthew Hummel's NPI number?

The NPI number for Matthew Hummel is 1780644526. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Matthew Hummel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Hummel was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 24, 2006PECOS EnrolledAccepts Medicare Assignment

73.32/100

CMS Quality Rating

16838 E PALISADES BLVD, C153, FOUNTAIN HILLS, AZ 85268(480) 816-3131(480) 816-3136 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew Joseph Hummel M.d. NPPES

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

MATTHEW JOSEPH HUMMEL M.D. (NPI 1780644526) is an individual family medicine provider in Fountain Hills, Arizona, licensed in Arizona (27179) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1996).

NPPES Registry Identity

NPI1780644526

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW JOSEPH HUMMELCredential: M.D.

Location Address16838 E PALISADES BLVD, C153Fountain Hills, AZ 85268-3786

Mailing Address16838 E Palisades Blvd, C153Fountain Hills, AZ 85268-3786 · (480) 816-3131 · Fax (480) 816-3136

Phone(480) 816-3131

Fax(480) 816-3136

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1996

Enumeration DateMarch 24, 2006

Last NPPES UpdateMay 4, 2010

✔ NPI 1780644526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 27179

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.

16838 E PALISADES BLVD, Fountain Hills, AZ 85268

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Other Identifiers 1

Medicare UPING94866AZ

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

Matthew Joseph Hummel M.d. 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 ID8022030543

PECOS Enrollment IDI20100714000270

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 16

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.

529 services228 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

444 services98 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.

371 services196 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.

257 services257 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

256 services255 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

164 services101 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.

134 services91 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

116 services61 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

97 services51 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

89 services30 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

57 services35 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

43 services33 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

33 services32 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

29 services23 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

24 services22 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85268 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

73.32/100

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

Individually scored

Quality

92.39

Improvement Activities

Cost

21.22

Reported Quality Measures

Advance Care Plan

59%437 patients3/55-star benchmark: 100%

Breast Cancer Screening

73%121 patients4/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

19%429 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

75%282 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

66%245 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

6%63 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

2%63 patients5/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%2,142 patients4/55-star benchmark: 100%

HIV Screening

2%196 patients1/55-star benchmark: 60%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

31%609 patients3/55-star benchmark: 61%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 397 patients

Patients totalRate: 20% · 435 patients

21%435 patients2/55-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 15

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

2 suppliers12 claims156 services$18.19 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

2 suppliers12 claims360 services$2.35 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers39 claims169 services$6.34 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers15 claims21 services$0.96 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers17 claims17 services$35.08 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers11 claims39 services$16.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

BENSON CHYR PA

Physician Assistant

16838 E PALISADES BLVD
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 816-3131

BROOKE ALLEN OTR/L

Occupational Therapist (Hand)

16838 E PALISADES BLVD, BUILDING B SUITE 121
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 837-2595

RODNEY WALKER DPT

Physical Therapist

16838 E PALISADES BLVD, BLDG B
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 837-2595

THOMAS A WEBB DPT

Physical Therapist

16838 E PALISADES BLVD, STE B-121
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 837-2595

LOVING FAMILY DENTAL LTD

Dentist (General Practice)

16838 E PALISADES BLVD, SUITE 111-A
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 836-7600

JOHN KLINE DPT

Physical Therapist

16838 E PALISADES BLVD, BLDG B-121
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 837-2595

DANIEL WIERCK PTA

Physical Therapy Assistant

16838 E PALISADES BLVD, BLDG B-121
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 837-2595

MARC D SULLIVAN M.D.

Family Medicine

16838 E PALISADES BLVD, SUITE C153
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 816-3131

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 Hummel's NPI number?

The NPI number for Matthew Hummel is 1780644526. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Matthew Hummel located?

Matthew Hummel practices at 16838 E Palisades Blvd C153, Fountain Hills, AZ 85268. The listed phone number is (480) 816-3131.

What is Matthew Hummel's specialty?

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

Is Matthew Hummel enrolled in Medicare?

Yes. Matthew Hummel 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.

When was this NPI record last updated?

The NPPES record for Matthew Hummel was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.