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DR. MATTHEW JOSEPH MICHEL MD
NPI 1992202956
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Toms River, NJ

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
530 LAKEHURST RD STE 101, TOMS RIVER, NJ 08755(732) 349-8454(732) 341-0259 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2025, Jul 31, 2024 (2 updates tracked since 2024).

About Dr. Matthew Joseph Michel Md NPPES

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

DR. MATTHEW JOSEPH MICHEL MD (NPI 1992202956) is an individual orthopaedic surgery of the spine provider in Toms River, New Jersey, licensed in New Jersey (25MA12890000) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Morganville.

NPPES Registry Identity

NPI1992202956
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. MATTHEW JOSEPH MICHELCredential: MD
Location Address530 LAKEHURST RD STE 101Toms River, NJ 08755-8063
Mailing Address530 Lakehurst Rd Ste 101Toms River, NJ 08755-8063 · (732) 349-8454
Phone(732) 349-8454
Fax(732) 341-0259
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2018
Enumeration DateApril 6, 2018
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1992202956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Licenses✔ Licensed in NJ · 25MA12890000✔ Licensed in CA · A186021
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A186021 (CA), 25MA12890000 (NJ)
530 LAKEHURST RD STE 101, Toms River, NJ 08755
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Secondary Practice Location 1

Location 1186 County Road 520 # 1Morganville, NJ 07751-1246 · Phone (732) 349-8454 · Fax (732) 341-0259

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Dr. Matthew Joseph Michel Md 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 ID8628439569
PECOS Enrollment IDI20251112004468
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

3

Medicare enrollment records show Matthew Michel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC
26 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
La Jolla Spine Institute Medical Group, Inc.
2,415 mi
Orthopaedic Surgery of the Spine
6719 ALVARADO RD., SUITE 308
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1073677811 (619) 265-7912
Regents Of The University Of California
2,422 mi
Orthopaedic Surgery
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group
NPI 1225130677 (800) 926-8273

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 10

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.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
122 services27 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
66 services36 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
41 services18 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
22 services22 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
21 services21 patients
Fusion of lower spine bone through abdomen with partial removal of disc 22558
This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Other Providers at the Same Location NPPES 13

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

ROBERT EDWARD NUGENT JR. DO
Orthopaedic Surgery
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Ocean County (732) 349-8454
DR. KARL R BLUM MD
Orthopaedic Surgery (Sports Medicine)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Ocean County (732) 349-8454
DR. JESS G ALCID MD
Orthopaedic Surgery (Sports Medicine)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Ocean County (732) 349-8454
GINA DOWNING APN-C
Nurse Practitioner (Adult Health)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Ocean County (732) 239-6073
DR. MARK T KASPER MD
Orthopaedic Surgery
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Ocean County (732) 349-8454
SUNDEEP SINGH SAINI D.O.
Orthopaedic Surgery
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Ocean County (732) 349-8454
AVIK MUKHERJEE DPM
Podiatrist (Foot & Ankle Surgery)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Ocean County (732) 349-8454
DR. SRIPAD H DHAWLIKAR MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Ocean County (732) 349-8454

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 Michel's NPI number?

The NPI number for Matthew Michel is 1992202956. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Matthew Michel located?

Matthew Michel practices at 530 Lakehurst Rd Ste 101, Toms River, NJ 08755. The listed phone number is (732) 349-8454.

What is Matthew Michel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Matthew Michel enrolled in Medicare?

Yes. Matthew Michel 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 Michel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Michel reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), La Jolla Spine Institute Medical Group, Inc. (San Diego, CA) and Regents Of The University Of California (San Diego, CA). 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 Michel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Michel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Matthew Michel 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 Michel affiliated with any hospitals?

According to CMS data, Matthew Michel is affiliated with Community Medical Center, Ocean Medical Center, Monmouth Medical Center-Southern Campus and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Michel was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.