Individual provider Active NPI

Matthew J Perry, M.D.

  • Urology Physician
  • Sarasota, FL
National Provider Identifier
1013996859
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME97146 Issued in FL
Practice address
1 S School Ave
Sarasota, FL 34237-6014
Phone
(941) 309-7000
Fax
(941) 308-8508
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 45819 MN
Urology Physician 208800000X ME97146 FL Primary

Addresses

Primary practice location

1 S School Ave
Sarasota, FL 34237-6014

Mailing address

2234 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 10

IdentifierTypeStateIssuer
305536OtherFLAVMED
124774OtherFLUNIVERSAL
P01807671OtherFLCLEAR HEALTH
P105219OtherFLFREEDOM HEALTH
003884800MedicaidFL
7500847OtherFLAETNA
P01051886OtherFLRAILROAD MCR
974698600MedicaidMN
0262533OtherFLCIGNA
P302195OtherFLOPTIMUM

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
I20070705000020 FL Practitioner - Urology 6608770102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Miami, LM Miller School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1 S School Ave
Sarasota, FL 34237-6047

1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202

2051 45TH St
Suite 203
West Palm Beach, FL 33407-2029
Phone (561) 848-8700

6310 Health Park Way
Lakewood Ranch, FL 34202-5177

730 Goodlette Rd
Suite 201
Naples, FL 34102-5618
Phone (239) 263-4499

7451 Gladiolus Dr
Fort Myers, FL 33908-5193
Phone (239) 936-0441

842 Sunset Lake Blvd
Suite 403
Venice, FL 34292-7553
Phone (941) 485-7677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME97146FLMDUrology Physician
45819MNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Urology Specialists Urology Current Accepting new patients
Genesiscare USA of Florida LLC Urology CurrentSince Mar 31, 2012 Accepting new patients
Genesiscare USA of Florida LLC Urology Current Accepting new patients
Genesiscare USA of Florida LLC Urology CurrentSince Mar 31, 2012 Accepting new patients
Genesiscare USA of Florida LLC Urology Past Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

2160 Colonial Blvd
Fort Myers, FL 33907

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

431 University Blvd
Jupiter, FL 33458
Phone (561) 296-9147

6310 Health Park Way
Ste 210
Lakewood Ranch, FL 34202
Phone (941) 744-0024

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

2345 Bobcat Village Center Rd
Unit 201
North Port, FL 34288
Phone (941) 379-6331

1 S School Ave
Ste 200
Sarasota, FL 34237

1 S School Ave
Ste 104
Sarasota, FL 34237

842 Sunset Lake Blvd
Ste 403
Venice, FL 34292
Phone (941) 485-3351

4120 Woodmere Park Blvd
Ste 8A
Venice, FL 34293
Phone (941) 408-8077

195 Center Rd
Ste B
Venice, FL 34285
Phone (941) 492-6227

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network
  • FL HMO

Interoperability endpoints

  • Direct secure messaging: matthewperry@fus.medalliesdirect.net

Organizations & group practices 5

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 10

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1013996859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S SCHOOL AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376014",
            "telephone_number": "941-309-7000",
            "fax_number": "941-308-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "45819",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME97146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "305536",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "124774",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEAR HEALTH",
            "identifier": "P01807671",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM HEALTH",
            "identifier": "P105219",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003884800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7500847",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01051886",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974698600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0262533",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P302195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.