Individual provider Active NPI

Matthew Stephan Casavant, DO

  • Obstetrics & Gynecology Physician
  • Clermont, FL
National Provider Identifier
1003815671
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS8678 Issued in FL
Practice address
1900 Don Wickham Drive
Ste 120
Clermont, FL 34711-1947
Phone
(352) 241-7050
Fax
(352) 241-7035
NPI assigned
Jul 18, 2005
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS8678 FL Primary

Addresses

Primary practice location

1900 Don Wickham Drive
Ste 120
Clermont, FL 34711-1947

Mailing address

1900 Don Wickham Drive
Ste 120
Clermont, FL 34711-1947
Phone (352) 241-7050

Other identifiers 1

IdentifierTypeStateIssuer
264093700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000280 FL Practitioner - Obstetrics/Gynecology 8820087893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lake Obstetrics and Gynecology LLCGroup PAC ID 9638168693, 3 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1900 Don Wickham Dr
Suite 120
Clermont, FL 34711-1980
Phone (352) 241-7050

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-8555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS8678FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Dec 27, 2013 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2017 Accepting new patients
South Lake Obstetrics & Gynecology, LLC Obstetrics & Gynecology CurrentSince Feb 13, 2002 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Dec 27, 2013 Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

1900 Don Wickham Dr
Ste 120
Clermont, FL 34711
Phone (321) 841-5281

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAAFBD/Endpoint/CAAFBD
  • Direct secure messaging: mcasavant25791@orlandohealth.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1003815671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DRIVE",
            "address_2": "STE 120",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111947",
            "telephone_number": "352-241-7050",
            "fax_number": "352-241-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DRIVE",
            "address_2": "STE 120",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111947",
            "telephone_number": "352-241-7050",
            "fax_number": "352-241-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAVANT",
        "first_name": "MATTHEW",
        "middle_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS8678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264093700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.