1. Home
  2. Directory
  3. Ohio
  4. Grandview Heights
  5. Internal Medicine
  6. NPI Profile

MATTHEW J FLANIGAN MD
NPI 1811239650
Internal Medicine in Grandview Heights, OH

Active since March 19, 2013PECOS EnrolledAccepts Medicare Assignment
895 YARD ST, GRANDVIEW HEIGHTS, OH 43212(614) 293-5123(614) 293-4980 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2024, Feb 22, 2021, Mar 4, 2019 and 1 more (4 updates tracked since 2017).

About Matthew J Flanigan Md NPPES

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

MATTHEW J FLANIGAN MD (NPI 1811239650) is an individual internal medicine provider in Grandview Heights, Ohio, licensed in Ohio (35.125704) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1811239650
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATTHEW J FLANIGANCredential: MD
Location Address895 YARD STGrandview Heights, OH 43212-3886
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-5123 · Fax (614) 293-4980
Phone(614) 293-5123
Fax(614) 293-4980
Sole ProprietorNo
Medical School CMSOhio Medical UniversityGraduated 2012
Enumeration DateMarch 19, 2013
Last NPPES UpdateMarch 6, 20244 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1811239650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.125704
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
895 YARD ST, Grandview Heights, OH 43212
Open in Google Maps ↗

Secondary Practice Location 1

Location 1395 W 12th Ave, 3rd floorColumbus, OH 43210-1267 · Phone (614) 293-3989

Other Identifiers 1

Medicaid0212391OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 J Flanigan Md 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 ID3870720170
PECOS Enrollment IDI20170612002912
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

2

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

Pediatric Academic Association, Inc.
3.1 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579
Osu General Internal Medicine LLC
3.3 mi
Internal Medicine
1800 ZOLLINGER RD
Columbus, OH 43221
  • Reassigned Medicare billing, Ohio enrollment
  • 303 clinicians in this Medicare group
NPI 1689919599 (614) 293-5123

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 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.
29 services21 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43212 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 9

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

DR. JENNIFER SABATINO PHARMD, RPH
Pharmacist (Pharmacotherapy)
895 YARD ST
COLUMBUS, OH 43212
Franklin County (614) 293-7980
SEULI M BRILL MD
Internal Medicine
895 YARD ST
GRANDVIEW HEIGHTS, OH 43212
Franklin County (614) 293-5123
PHILIP YOU-HUA CHANG MD
Internal Medicine
895 YARD ST
GRANDVIEW HEIGHTS, OH 43212
Franklin County (614) 293-5123
DR. KATHRYN J TOBIN MD
Internal Medicine
895 YARD ST
GRANDVIEW, OH 43212
Franklin County (614) 293-5123
MRS. ALISON MARIE SOBOWALE LISW
Social Worker (Clinical)
895 YARD ST
GRANDVIEW, OH 43212
Franklin County (614) 293-5123
ARIELA ANISE WAGNER RPH
Pharmacist
895 YARD ST
GRANDVIEW HEIGHTS, OH 43212
Franklin County (614) 293-5123
MR. KASHIF KHAN LISW
Social Worker
895 YARD ST
GRANDVIEW, OH 43212
Franklin County (614) 293-5123
STEPHEN C KOESTERS MD
Internal Medicine
895 YARD ST
COLUMBUS, OH 43212
Franklin County (614) 293-5123

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 Flanigan's NPI number?

The NPI number for Matthew Flanigan is 1811239650. It was assigned to this individual provider in the NPPES registry on March 19, 2013.

Where is Matthew Flanigan located?

Matthew Flanigan practices at 895 Yard St, Grandview Heights, OH 43212. The listed phone number is (614) 293-5123.

What is Matthew Flanigan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Matthew Flanigan enrolled in Medicare?

Yes. Matthew Flanigan 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 Flanigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Flanigan reassigns Medicare benefits to 2 organizations: Pediatric Academic Association, Inc. (Columbus, OH) and Osu General Internal Medicine LLC (Columbus, OH). 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 Flanigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Flanigan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Matthew Flanigan 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 Flanigan affiliated with any hospitals?

According to CMS data, Matthew Flanigan is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Matthew Flanigan was last updated on March 6, 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.