DAVID MATTHEW MUNCY D.O.
NPI 1952763484
Emergency Medicine in Newark, OH

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
80.89/100
CMS Quality Rating
1320 W MAIN ST, NEWARK, OH 43055(220) 564-4151(220) 564-7153 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2023, Jul 30, 2019, Aug 23, 2017 and 2 more (5 updates tracked since 2016).

About David Matthew Muncy D.o. NPPES

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

DAVID MATTHEW MUNCY D.O. (NPI 1952763484) is an individual emergency medicine provider in Newark, Ohio, licensed in Ohio (34.017540) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952763484
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDAVID MATTHEW MUNCYCredential: D.O.
Location Address1320 W MAIN STNewark, OH 43055-1822
Mailing Address1320 W Main StNewark, OH 43055-1822 · (220) 564-4151 · Fax (220) 564-7153
Fax(220) 564-7153
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateJanuary 13, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
NPI 1952763484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in OH · 34.017540 Licensed in KY · R4143 Licensed in KY · 04369
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1320 W MAIN ST, Newark, OH 43055

Secondary Practice Locations 2

Location 11221 S BroadwayLexington, KY 40504-2701 · Phone (859) 258-4000
Location 2University Of Kentucky, 800 Rose Street, Room M-53Lexington, KY 40536-0001 · Phone (859) 323-5083

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

David Matthew Muncy D.o. 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 ID6204107758
PECOS Enrollment IDI20250102002597
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 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
117 services110 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
80 services78 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
47 services47 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.
41 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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.

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.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.29
Promoting Interoperability100
Improvement Activities40
Cost74

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.

Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Pharmacist
1320 W MAIN ST
NEWARK, OH 43055
Nurse Practitioner
1320 W MAIN ST
NEWARK, OH 43055
Pharmacist (Emergency Medicine)
1320 W MAIN ST
NEWARK, OH 43055
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055

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 David Muncy's NPI number?

The NPI number for David Muncy is 1952763484. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is David Muncy located?

David Muncy practices at 1320 W Main St, Newark, OH 43055. The listed phone number is (220) 564-4151.

What is David Muncy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is David Muncy enrolled in Medicare?

Yes. David Muncy 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.

Is David Muncy affiliated with any hospitals?

According to CMS data, David Muncy is affiliated with Baptist Health Lexington and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Muncy was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.