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

MATTHEW DAVID ETHIER MD
NPI 1821290644
Radiology - Diagnostic Radiology in Providence, RI

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-5174 Get Directions Write a Review

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

Record update history: Oct 6, 2026, Mar 12, 2019, Dec 5, 2018 and 1 more (4 updates tracked since 2016).

About Matthew David Ethier Md NPPES

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

MATTHEW DAVID ETHIER MD (NPI 1821290644) is an individual diagnostic radiology provider in Providence, Rhode Island, licensed in Rhode Island (MD14120) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains a secondary practice location in Attleboro.

NPPES Registry Identity

NPI1821290644
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMATTHEW DAVID ETHIERCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address125 Metro Center Blvd Ste 2000Warwick, RI 02886-1785 · (401) 432-2500 · Fax (401) 886-3619
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2007
Enumeration DateJune 4, 2007
Last NPPES UpdateOctober 6, 20264 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1821290644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in RI · MD14120✔ Licensed in MA · 254498
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
593 EDDY ST, Providence, RI 02903

Secondary Practice Location 1

Location 1211 Park StAttleboro, MA 02703-3143 · Phone (508) 222-5200

Accepted 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 David Ethier 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 ID1254585318
PECOS Enrollment IDI20130823000868
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 Reassignment

Medicare enrollment records show Matthew Ethier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
363 HIGHLAND AVE
Fall River, MA 02720
  • Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
  • 26 clinicians in this Medicare group

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 73

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
663 services562 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
544 services521 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
355 services350 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
243 services238 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
220 services218 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
189 services187 patients

Hospital Affiliations CMS Care Compare

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Ethier's NPI number?

The NPI number for Matthew Ethier is 1821290644. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Matthew Ethier located?

Matthew Ethier practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-5174.

What is Matthew Ethier's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Matthew Ethier enrolled in Medicare?

Yes. Matthew Ethier 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 organization bills Medicare for Matthew Ethier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Ethier reassigns Medicare benefits to Southern New England Radiology Inc (Fall River, MA). The 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 Ethier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Ethier accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Matthew Ethier 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 Ethier affiliated with any hospitals?

According to CMS data, Matthew Ethier is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Matthew Ethier was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.