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MATTHEW TINKHAM MD
NPI 1861073959
Emergency Medicine in Snellville, GA

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment
PIEDMONT EASTSIDE MEDICAL CENTER, 1700 MEDICAL WAY, SNELLVILLE, GA 30078(770) 979-0200 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2024, Apr 20, 2021 (2 updates tracked since 2021).

About Matthew Tinkham Md NPPES

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

MATTHEW TINKHAM MD (NPI 1861073959) is an individual emergency medicine provider in Snellville, Georgia, licensed in Georgia (99757) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Piedmont Eastside Medical Center, and is a graduate of University Of Maryland School Of Medicine (2021).

NPPES Registry Identity

NPI1861073959
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW TINKHAMCredential: MD
Location AddressPIEDMONT EASTSIDE MEDICAL CENTER, 1700 MEDICAL WAYSnellville, GA 30078
Mailing Address2376 Jade DrLawrenceville, GA 30044-5804 · (401) 451-0701
Phone(770) 979-0200
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2021
Enumeration DateApril 20, 2021
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1861073959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 99757
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
PIEDMONT EASTSIDE MEDICAL CENTER, Snellville, GA 30078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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 Tinkham 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 ID4183157639
PECOS Enrollment IDI20241023001378
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

4

Medicare enrollment records show Matthew Tinkham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gwinnett Emergency Specialists Observation Services, LLC
6.9 mi
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
NPI 1720373129 (954) 939-5000
Gwinnett Emergency Specialists, LLC
6.9 mi
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 138 clinicians in this Medicare group
NPI 1437346467 (954) 939-5000
Cep America LLC
13 mi
Emergency Medicine
2801 DEKALB MEDICAL PKWY
Lithonia, GA 30058
  • Reassigned Medicare billing, Georgia enrollment
  • 128 clinicians in this Medicare group
NPI 1124073721 (404) 501-8700
Acs Primary Care Physicians - Southeast PC
299 mi
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, Georgia enrollment
  • 586 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
68 services65 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Tinkham's NPI number?

The NPI number for Matthew Tinkham is 1861073959. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Matthew Tinkham located?

Matthew Tinkham practices at Piedmont Eastside Medical Center 1700 Medical Way, Snellville, GA 30078. The listed phone number is (770) 979-0200.

What is Matthew Tinkham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Tinkham enrolled in Medicare?

Yes. Matthew Tinkham 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 Tinkham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Tinkham reassigns Medicare benefits to 4 organizations: Gwinnett Emergency Specialists Observation Services, LLC (Lawrenceville, GA), Gwinnett Emergency Specialists, LLC (Lawrenceville, GA), Cep America LLC (Lithonia, GA) and Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). 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 Tinkham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Tinkham accept?

Health plans from Oscar Health and Oscar Insurance Company list Matthew Tinkham 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 Tinkham affiliated with any hospitals?

According to CMS data, Matthew Tinkham is affiliated with Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Tinkham was last updated on August 5, 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.