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

MATTHEW RYAN BAUCOM MD
NPI 1871053090
Surgery in Edgewood, KY

Active since March 22, 2019PECOS Enrolled
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 578-5880(859) 578-5881 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2026, Mar 22, 2019 (2 updates tracked since 2019).

About Matthew Ryan Baucom Md NPPES

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

MATTHEW RYAN BAUCOM MD (NPI 1871053090) is an individual surgery provider in Edgewood, Kentucky, licensed in Kentucky (61969) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871053090
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMATTHEW RYAN BAUCOMCredential: MD
Location Address20 MEDICAL VILLAGE DREdgewood, KY 41017-5401
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 344-5555 · Fax (859) 344-5552
Phone(859) 578-5880
Fax(859) 578-5881
Sole ProprietorNo
Enumeration DateMarch 22, 2019
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1871053090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 61969
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
20 MEDICAL VILLAGE DR, Edgewood, KY 41017
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Ryan Baucom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

INFECTIOUS DISEASE CONSULTANTS INC
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017
Kenton County (859) 344-1512
DAVID THOMAS TACKETT APRN
Nurse Practitioner
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
DEBORAH JOY BARNETT PA-C
Physician Assistant
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
VINCENT E ZIEGLER, PSC
Psychiatry & Neurology (Psychiatry)
20 MEDICAL VILLAGE DR, SUITE 301
EDGEWOOD, KY 41017
Kenton County (859) 341-5074
DR. MICHEAL LINK ROBINSON MD, DMD
Dentist (Oral and Maxillofacial Surgery)
20 MEDICAL VILLAGE DR, SUITE 196
EDGEWOOD, KY 41017
Kenton County (859) 331-2100
VIDYA RAJARAM DEVARAJAN M.D.
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 344-1512
THE CRANLEY SURGICAL ASSOC,INC.
Surgery
20 MEDICAL VILLAGE DR, SUITE 394
EDGEWOOD, KY 41017
Kenton County (859) 578-0442
ANNA MORIAH GROTE CRNA
Nurse Anesthetist, Certified Registered
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 341-7246

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 Baucom's NPI number?

The NPI number for Matthew Baucom is 1871053090. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Matthew Baucom located?

Matthew Baucom practices at 20 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 578-5880.

What is Matthew Baucom's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Baucom enrolled in Medicare?

Yes. Matthew Baucom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Baucom was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.