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MATTHEW PONTELL M.D.
NPI 1982017133
Surgery - Plastic and Reconstructive Surgery in Nashville, TN

Active since June 05, 2014PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2024, Aug 9, 2023 (2 updates tracked since 2023).

About Matthew Pontell M.d. NPPES

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

MATTHEW PONTELL M.D. (NPI 1982017133) is an individual plastic and reconstructive surgery provider in Nashville, Tennessee, licensed in Tennessee (67819) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1982017133
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMATTHEW PONTELLCredential: M.D.
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-1101
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(615) 322-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 5, 2014
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1982017133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TN · 67819
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License 67819 (TN), MT207322 (PA)
3601 THE VANDERBILT CLINIC, Nashville, TN 37232
Open in Google Maps ↗

Secondary Practice Location 1

Location 1245 N 15th St, Room 7150Philadelphia, PA 19102-1101 · Phone (215) 762-3585 · Fax (215) 762-3058

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.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 Pontell M.d. 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 ID1759633845
PECOS Enrollment IDI20230918004234
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

DR. ENGLISH FLACK MD
Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DANIEL K BARRETT APRN
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
JACQUELYN L. GARNER PNP
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. ROBERT JAMES LENTZ M.D.
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
LYNN HOLLIDAY M.D.
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. HEATHER KRETH PSY.D
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 936-2000
AARON WESLEY SCOTT APN
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 936-2000
DR. COLLEEN M KIERNAN M.D.
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Pontell's NPI number?

The NPI number for Matthew Pontell is 1982017133. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Matthew Pontell located?

Matthew Pontell practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Matthew Pontell's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Matthew Pontell enrolled in Medicare?

Yes. Matthew Pontell 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 Pontell accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Matthew Pontell 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 Pontell affiliated with any hospitals?

According to CMS data, Matthew Pontell is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Pontell was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.