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MATTHEW ROBERT DETTER MD, PHD
NPI 1881278992
Internal Medicine in Atlanta, GA

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment
101 WOODRUFF CIRCLE WMB 1105, ATLANTA, GA 30322(404) 712-1504(404) 544-1569 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2024, May 6, 2021 (2 updates tracked since 2021).

About Matthew Robert Detter Md, Phd NPPES

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

MATTHEW ROBERT DETTER MD, PHD (NPI 1881278992) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (97628) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Duke University School Of Medicine (2021).

NPPES Registry Identity

NPI1881278992
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATTHEW ROBERT DETTERCredential: MD, PHD
Location Address101 WOODRUFF CIRCLE WMB 1105Atlanta, GA 30322-4238
Mailing Address1173 Willivee DrDecatur, GA 30033-4122 · (410) 409-3318
Phone(404) 712-1504
Fax(404) 544-1569
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2021
Enumeration DateMay 6, 2021
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1881278992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 97628
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.
101 WOODRUFF CIRCLE WMB 1105, Atlanta, GA 30322
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Secondary Practice Locations 2

Location 13400 Spruce StPhiladelphia, PA 19104-4238 · Phone (215) 823-4133
Location 21173 Willivee DrDecatur, GA 30033 · Phone (410) 409-3318

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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 Robert Detter Md, Phd 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 ID4385164326
PECOS Enrollment IDI20250221000159
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 Detter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Specialty Associates, LLC
66 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AUDRY STEFANY CHACIN SUAREZ MD
Internal Medicine
101 WOODRUFF CIRCLE WMB 1105
ATLANTA, GA 30322
Dekalb County (404) 712-1504
DR. PHUUWADITH WATTANACHAYAKUL MD
Internal Medicine (Cardiovascular Disease)
101 WOODRUFF CIRCLE WMB 1105
ATLANTA, GA 30322
Dekalb County (404) 712-1504

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 Detter's NPI number?

The NPI number for Matthew Detter is 1881278992. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Matthew Detter located?

Matthew Detter practices at 101 Woodruff Circle Wmb 1105, Atlanta, GA 30322. The listed phone number is (404) 712-1504.

What is Matthew Detter's specialty?

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

Is Matthew Detter enrolled in Medicare?

Yes. Matthew Detter 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 Detter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Detter reassigns Medicare benefits to Emory Specialty Associates, LLC (Lagrange, GA). 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 Detter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Detter accept?

Health plans from Oscar Health list Matthew Detter 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.

When was this NPI record last updated?

The NPPES record for Matthew Detter was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.