Individual provider Active NPI

Richard Matter

  • Radiation Oncology Physician
  • Lexington, KY
National Provider Identifier
1073573481
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4301039400 Issued in MI
Practice address
701 Bob O Link Dr
Ste 120
Lexington, KY 40504-3759
Phone
(859) 277-3737
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301039400 MI Primary

Addresses

Primary practice location

701 Bob O Link Dr
Ste 120
Lexington, KY 40504-3759

Mailing address

870 Corporate Dr
Ste. 400
Lexington, KY 40503-5416
Phone (859) 277-9436

Other identifiers 4

IdentifierTypeStateIssuer
64129463MedicaidKY
300F362430OtherMIBCBSM
1577948MedicaidMI
P00396831OtherKYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MI, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070509000302 KY Practitioner - Radiation Oncology 5496851321 Reassigns benefits to 3 organizations
I20230209001767 MI Practitioner - Radiation Oncology 5496851321 Reassigns benefits to 1 organization
I20230220002307 OH Practitioner - Radiation Oncology 5496851321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc Current Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Jun 15, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Jun 15, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc Radiation Oncology Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
United Surgical Associates, P.S.C. Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

900 Hospital Dr
Fl 5
Madisonville, KY 42431
Phone (270) 825-5100

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

800 Stewart Rd
Ste A
Monroe, MI 48162
Phone (734) 240-1800

5300 Harroun Rd
Ste 118
Sylvania, OH 43560
Phone (419) 479-5386

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Organizations & group practices 12

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

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1073573481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CORPORATE DR",
            "address_2": "STE. 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035416",
            "telephone_number": "859-277-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BOB O LINK DR",
            "address_2": "STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043759",
            "telephone_number": "859-277-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTER",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301039400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64129463",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "300F362430",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1577948",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00396831",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.