MATTHEW E KOEPPLINGER DO
NPI 1972579324
Orthopaedic Surgery in Houston, TX
About Matthew E Koepplinger Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW E KOEPPLINGER DO (NPI 1972579324) is an individual orthopaedic surgery provider in Houston, Texas, licensed in Texas (N1370) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (2003).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 4
Accepted 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 E Koepplinger Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Koepplinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Tsaile, AZ 86556
- Reassigned Medicare billing, Texas enrollment
- 476 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hermann - Texas Medical Center
Acute Care Hospitals · Houston, TXMemorial Hermann Memorial City Hospital
Acute Care Hospitals · Houston, TXMemorial Hermann Katy Hospital
Acute Care Hospitals · Katy, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Koepplinger's NPI number?
The NPI number for Matthew Koepplinger is 1972579324. It was assigned to this individual provider in the NPPES registry on February 27, 2006.
Where is Matthew Koepplinger located?
Matthew Koepplinger practices at 6400 Fannin St Ste 1700, Houston, TX 77030. The listed phone number is (713) 486-1890.
What is Matthew Koepplinger's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Matthew Koepplinger enrolled in Medicare?
Yes. Matthew Koepplinger 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 organizations bill Medicare for Matthew Koepplinger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Koepplinger reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Tsaile, AZ). 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 Koepplinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Koepplinger accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Matthew Koepplinger 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 Koepplinger affiliated with any hospitals?
According to CMS data, Matthew Koepplinger is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Memorial City Hospital and Memorial Hermann Katy Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Koepplinger was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Matthew E Koepplinger, DO · NPI 1972579324
Orthopaedic Surgery physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since February 27, 2006.
## Identity
- **NPI:** 1972579324 (Entity type: Individual)
- **Enumerated:** February 27, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** N1370 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6400 FANNIN ST STE 1700, Houston, TX 77030-1521
- **Phone:** (713) 486-1890 · **Fax:** (713) 512-7240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ut Physicians (NPI 1033157821, Houston, TX); Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (NPI 1538185715, Tsaile, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio University, College Of Osteopathic Medicine, class of 2003
## Record status
- **NPPES last updated:** June 26, 2012
- **Other identifiers:** Medicare UPIN I32133 (OH); Medicare PIN P00876633 (TX); Medicare PIN TXB104735 (TX); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1972579324) · Data from the CMS NPPES public registry.