MATTHEW J DOPPLER PHD
NPI 1952404659
Psychologist - Clinical in Bismarck, ND

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
83.98/100
CMS Quality Rating
414 N 7TH ST, BISMARCK, ND 58501(701) 323-6543(701) 323-5709 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew J Doppler Phd NPPES

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

MATTHEW J DOPPLER PHD (NPI 1952404659) is an individual clinical provider in Bismarck, North Dakota, licensed in North Dakota (288) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1952404659
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMATTHEW J DOPPLERCredential: PHD
Location Address414 N 7TH STBismarck, ND 58501-4423
Mailing AddressPo Box 5501Bismarck, ND 58506-5501 · (701) 323-6000 · Fax (701) 323-5709
Fax(701) 323-5709
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 7, 2006
Last NPPES UpdateSeptember 4, 2007
NPI 1952404659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in ND · 288
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
414 N 7TH ST, Bismarck, ND 58501

Other Identifiers 3

Medicare UPINS12659ND
Medicare PIN14574ND
Medicaid18696ND

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew J Doppler 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 ID3375440589
PECOS Enrollment IDI20031216000680
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.

Areas of Expertise CMS Part B claims

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
138 services22 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

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.

Nurse Practitioner (Family)
414 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner (Psychiatric/Mental Health)
414 N 7TH ST
BISMARCK, ND 58501
Obstetrics & Gynecology
414 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner (Obstetrics & Gynecology)
414 N 7TH ST
BISMARCK, ND 58501
Obstetrics & Gynecology
414 N 7TH ST
BISMARCK, ND 58501
Obstetrics & Gynecology
414 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner (Obstetrics & Gynecology)
414 N 7TH ST, 3RD FLOOR, OB/GYN
BISMARCK, ND 58501
Social Worker (Clinical)
414 N 7TH ST
BISMARCK, ND 58501

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 Doppler's NPI number?

The NPI number for Matthew Doppler is 1952404659. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Matthew Doppler located?

Matthew Doppler practices at 414 N 7th St, Bismarck, ND 58501. The listed phone number is (701) 323-6543.

What is Matthew Doppler's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Matthew Doppler enrolled in Medicare?

Yes. Matthew Doppler 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.

What insurance does Matthew Doppler accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Matthew Doppler 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 Doppler affiliated with any hospitals?

According to CMS data, Matthew Doppler is affiliated with Sanford Medical Center Bismarck.

When was this NPI record last updated?

The NPPES record for Matthew Doppler was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.