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MATTHEW ROBERT WOLFGANG M.D.
NPI 1902225196
Pediatrics in Cincinnati, OH

Active since April 15, 2014PECOS Enrolled
8240 NORTHCREEK DR, CINCINNATI, OH 45236(513) 246-7000 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2021, Apr 18, 2017 (2 updates tracked since 2017).

About Matthew Robert Wolfgang M.d. NPPES

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

MATTHEW ROBERT WOLFGANG M.D. (NPI 1902225196) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35.131010) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1902225196
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW ROBERT WOLFGANGCredential: M.D.
Location Address8240 NORTHCREEK DRCincinnati, OH 45236-2377
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 246-1964
Phone(513) 246-7000
Sole ProprietorNo
Enumeration DateApril 15, 2014
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1902225196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.131010
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8240 NORTHCREEK DR, Cincinnati, OH 45236
Open in Google Maps ↗

Secondary Practice Location 1

Location 13333 Burnet Ave, ML 2008Cincinnati, OH 45229-3026 · Phone (513) 636-7966 · Fax (513) 636-7967

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Robert Wolfgang M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Wolfgang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Medical Center
8.4 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225
Trihealth G LLC
9.3 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000

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 45236 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

RICHARD A KING M.D.
Internal Medicine (Hematology & Oncology)
8240 NORTHCREEK DR
CINCINNATI, OH 45236
Hamilton County (513) 851-1300
TIFFANY ESCOBAR FNP-C
Nurse Practitioner (Primary Care)
8240 NORTHCREEK DR
CINCINNATI, OH 45236
Hamilton County (513) 246-2300
JOY CHENG M.D.
Pediatrics
8240 NORTHCREEK DR
CINCINNATI, OH 45236
Hamilton County (513) 246-7000
DR. DAVID BROOMALL MD
Dermatology
8240 NORTHCREEK DR
CINCINNATI, OH 45236
Hamilton County (513) 246-7000
JENNA NABER
Physical Therapist
8240 NORTHCREEK DR
CINCINNATI, OH 45236
Hamilton County (513) 246-5303
HEATHER M BENNETT CNP
Nurse Practitioner (Family)
8240 NORTHCREEK DR
CINCINNATI, OH 45236
Hamilton County (513) 853-1300
TAYLOR NICOLE BOSCH
Physical Medicine & Rehabilitation
8240 NORTHCREEK DR
CINCINNATI, OH 45236
Hamilton County (513) 246-2300
MRS. KATHERINE MARCELLE OTTO SPITZER RD, LD
Dietitian, Registered
8240 NORTHCREEK DR
CINCINNATI, OH 45236
Hamilton County (513) 853-7555

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 Wolfgang's NPI number?

The NPI number for Matthew Wolfgang is 1902225196. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Matthew Wolfgang located?

Matthew Wolfgang practices at 8240 Northcreek Dr, Cincinnati, OH 45236. The listed phone number is (513) 246-7000.

What is Matthew Wolfgang's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Wolfgang enrolled in Medicare?

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

Which organizations bill Medicare for Matthew Wolfgang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wolfgang reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). 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 Wolfgang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Wolfgang accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Matthew Wolfgang 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 Wolfgang was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.