DR. MATTHEW ERIC EMERSON MD
NPI 1861888653
Internal Medicine in Saint Cloud, MN

Q: What is Matthew Emerson's NPI number?

The NPI number for Matthew Emerson is 1861888653. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Q: What is Matthew Emerson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Emerson was last updated on May 1, 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.

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment

1200 6TH AVE N, SAINT CLOUD, MN 56303(320) 252-5131(320) 656-7009 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2019, Jan 27, 2017 (2 updates tracked since 2017).

On this page

About Dr. Matthew Eric Emerson Md NPPES

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

DR. MATTHEW ERIC EMERSON MD (NPI 1861888653) is an individual internal medicine provider in Saint Cloud, Minnesota, licensed in Minnesota (63265) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Loma Linda University School Of Medicine (2015).

NPPES Registry Identity

NPI1861888653

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MATTHEW ERIC EMERSONCredential: MD

Location Address1200 6TH AVE NSaint Cloud, MN 56303-2735

Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 656-7009

Phone(320) 252-5131

Fax(320) 656-7009

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2015

Enumeration DateApril 8, 2015

Last NPPES UpdateMay 1, 20192 updates tracked since enumeration

✔ NPI 1861888653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 63265

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1200 6TH AVE N, Saint Cloud, MN 56303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Dr. Matthew Eric Emerson 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 ID4082927355

PECOS Enrollment IDI20180619003502

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

Medicare enrollment records show Matthew Emerson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centracare Clinic

Same address

Primary Care

1200 6TH AVE N
Saint Cloud, MN 56303

Reassigned Medicare billing, Minnesota enrollment
1,051 clinicians in this Medicare group

NPI 1538696323 (320) 252-5131

Centracare Health-Paynesville LLC

19 mi

Rural Health

130 1ST ST NE
Richmond, MN 56368

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1205269941 (Minnesota)
124 clinicians in this Medicare group

NPI 1144653734 (320) 597-2122

Centracare Health System-Nr LLC

27 mi

Critical Access

1013 HART BLVD
Monticello, MN 55362

Reassigned Medicare billing, Minnesota enrollment
285 clinicians in this Medicare group

NPI 1275872772 (763) 295-2945

Centracare Health System - Melrose

29 mi

Critical Access

525 W. MAIN STREET
Melrose, MN 56352

Reassigned Medicare billing, Minnesota enrollment
180 clinicians in this Medicare group

NPI 1720045073 (320) 256-4231

Centracare Health System - Sauk Centre

40 mi

Rural Health

425 ELM ST N
Sauk Centre, MN 56378

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1740553932 (Minnesota)
173 clinicians in this Medicare group

NPI 1578813762 (320) 352-2221

Centracare Health System - Long Prairie

43 mi

Critical Access

50 CENTRACARE DR
Long Prairie, MN 56347

Reassigned Medicare billing, Minnesota enrollment
156 clinicians in this Medicare group

NPI 1164471678 (320) 732-2141

Carris Health LLC

53 mi

Emergency Medicine

301 BECKER AVE SW
Willmar, MN 56201

Reassigned Medicare billing, Minnesota enrollment
179 clinicians in this Medicare group

NPI 1134632680 (320) 235-4543

Centracare Health - Benson LLC

72 mi

Critical Access

1815 WISCONSIN AVE
Benson, MN 56215

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1023728516 (Minnesota)
95 clinicians in this Medicare group

NPI 1326757154 (320) 843-4232

Carris Health - Redwood LLC

85 mi

Emergency Medicine

101 CARING WAY
Redwood Falls, MN 56283

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1194206748 (Minnesota)
183 clinicians in this Medicare group

NPI 1265914048 (507) 637-4500

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 7

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

123 services119 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

91 services82 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

65 services36 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

41 services24 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

36 services36 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240001

Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County

Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Centracare- Rice Memorial Hospital

Acute Care Hospitals · Willmar, MN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240088

Location301 Becker Ave SWWillmar, MN 56201 · Kandiyohi County

Emergency services Birthing friendly

Centracare Health System - Long Prairie

Critical Access Hospitals · Long Prairie, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241326

Location50 Centracare DriveLong Prairie, MN 56347 · Todd County

Emergency services Birthing friendly

Centracare Health - Monticello

Critical Access Hospitals · Monticello, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241362

Location1013 Hart BoulevardMonticello, MN 55362 · Wright County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers30 claims30 services$101.67 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

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

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.

ELIZABETH RENDE

Pediatrics

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 251-2700

LYNN M WELLNER REGISTERED NURSE

Registered Nurse

1200 6TH AVE N
ST CLOUD, MN 56303

Stearns County (320) 240-2206

BHARATH MANU AKKARA VEETIL MBBS

Internal Medicine (Rheumatology)

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

ABIGAIL HOLMBERG PA

Physician Assistant (Medical)

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 240-2829

JESSICA HOLLENKAMP CNP

Nurse Practitioner

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

CHRISTINA K ANDERSON MD

Dermatology

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

YAGA SAINE RN, CNP

Nurse Practitioner (Adult Health)

1200 6TH AVE N, CENTRACARE CLINIC
SAINT CLOUD, MN 56303

Stearns County (320) 656-7020

JYH-YAU TSAUR MD

Internal Medicine

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

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 Emerson's NPI number?

The NPI number for Matthew Emerson is 1861888653. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Matthew Emerson located?

Matthew Emerson practices at 1200 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-5131.

What is Matthew Emerson's specialty?

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

Is Matthew Emerson enrolled in Medicare?

Yes. Matthew Emerson 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 Emerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Emerson reassigns Medicare benefits to 9 organizations: Centracare Clinic (Saint Cloud, MN), Centracare Health-Paynesville LLC (Richmond, MN), Centracare Health System-Nr LLC (Monticello, MN), Centracare Health System - Melrose (Melrose, MN), Centracare Health System - Sauk Centre (Sauk Centre, MN) and 4 more organizations, listed in the Medicare section above. 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 Emerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Emerson accept?

Health plans from Sanford Health Plan list Matthew Emerson 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 Emerson affiliated with any hospitals?

According to CMS data, Matthew Emerson is affiliated with North Memorial Health Hospital, St Cloud Hospital, Centracare- Rice Memorial Hospital, Centracare Health System - Long Prairie and Centracare Health - Monticello.

When was this NPI record last updated?

The NPPES record for Matthew Emerson was last updated on May 1, 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.