DR. MATTHEW R STANFIELD MD
NPI 1821060229
Neurological Surgery in Seymour, IN

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
411 W TIPTON ST, SEYMOUR, IN 47274(812) 523-7870(812) 523-4752 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Matthew R Stanfield Md NPPES

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

DR. MATTHEW R STANFIELD MD (NPI 1821060229) is an individual neurological surgery provider in Seymour, Indiana, licensed in Indiana (01081758A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Schneck Medical Center, and is a graduate of Indiana University School Of Medicine (1999).

NPPES Registry Identity

NPI1821060229
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. MATTHEW R STANFIELDCredential: MD
Location Address411 W TIPTON STSeymour, IN 47274-2363
Mailing Address411 W Tipton StSeymour, IN 47274-2363 · (812) 523-7870 · Fax (812) 523-4752
Fax(812) 523-4752
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1999
Enumeration DateFebruary 2, 2006
Last NPPES UpdateMarch 26, 2019
NPI 1821060229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in IN · 01081758A
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
411 W TIPTON ST, Seymour, IN 47274

Other Identifiers 9

Medicaid200070970AOK
Other7665743OK · Aetna
Medicaid300022996IN
Other700522174OK · Medicare Group
Other202935682002OK · Bcbs Group
Other200088020AOK · Medicaid Group
Other202935682Tricare Group
Other202935682Tricare
OtherDF1032OK · Railroad Medicare Group

Accepted Insurance

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

Dr. Matthew R Stanfield 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 ID9739100231
PECOS Enrollment IDI20190301000252
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

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.
96 services56 patients

Hospital Affiliations CMS Care Compare

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

Schneck Medical Center

Acute Care Hospitals · Seymour, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150065
Location411 W Tipton StSeymour, IN 47274 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47274 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

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.

Emergency Medicine
411 W TIPTON ST
SEYMOUR, IN 47274
Pharmacist
411 W TIPTON ST
SEYMOUR, IN 47274
Family Medicine
411 W TIPTON ST
SEYMOUR, IN 47274
Medicare Defined Swing Bed Unit
411 W TIPTON ST
SEYMOUR, IN 47274
Registered Nurse
411 W TIPTON ST
SEYMOUR, IN 47274
Pathology (Anatomic Pathology & Clinical Pathology)
411 W TIPTON ST
SEYMOUR, IN 47274
Surgery
411 W TIPTON ST
SEYMOUR, IN 47274
Nurse Anesthetist, Certified Registered
411 W TIPTON ST
SEYMOUR, IN 47274

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 Stanfield's NPI number?

The NPI number for Matthew Stanfield is 1821060229. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Matthew Stanfield located?

Matthew Stanfield practices at 411 W Tipton St, Seymour, IN 47274. The listed phone number is (812) 523-7870.

What is Matthew Stanfield's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Matthew Stanfield enrolled in Medicare?

Yes. Matthew Stanfield 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.

What insurance does Matthew Stanfield accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Matthew Stanfield 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 Stanfield affiliated with any hospitals?

According to CMS data, Matthew Stanfield is affiliated with Schneck Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Stanfield was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.