Individual provider Active NPI

Matthew Jay Hallman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • New Bern, NC
National Provider Identifier
1235586546
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2020-03533 Issued in NC
Practice address
750 McCarthy Blvd
New Bern, NC 28562-5233
Phone
(252) 672-0095
Fax
(252) 672-9897
NPI assigned
May 17, 2016
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 218054 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X 2020-03533 NC Primary

Addresses

Primary practice location

750 McCarthy Blvd
New Bern, NC 28562-5233

Mailing address

250 Huff Dr
Jacksonville, NC 28546-7369
Phone (910) 353-4414

Other practice location 1

N2198 Unc Hospitals
CB# 7010
Chapel Hill, NC 27599-7010
Phone (919) 966-5136

Other identifiers 2

IdentifierTypeStateIssuer
218054OtherNCNCMB CERTIFICATE NUMBER (FULL LICENSE ATTAINED 2020)
218054OtherNCNORTH CAROLINA MEDICAL BOARD GRADUATE MEDICAL TRAINING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210812001165 NC Practitioner - Pain Management 6002107638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Virginia Commonwealth University, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johnston Pain Management PAGroup PAC ID 9931167178, 16 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

250 Huff Dr
Jacksonville, NC 28546-7369
Phone (910) 353-4414

2654 M L King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 637-0093

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.09 of 100Reported as group
Quality
57.41
Promoting interoperability
0
Improvement activities
40
Cost
82.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218054NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnston Pain Management PA CurrentSince Jul 1, 2021 Accepting new patients

Locations

250 Huff Dr
Jacksonville, NC 28546
Phone (910) 353-4414

750 McCarthy Blvd
New Bern, NC 28562
Phone (252) 321-1999

Interoperability endpoints

  • Direct secure messaging: mhallman193064@direct.unc.nchie.net
  • Direct secure messaging: mhallman22364@carolinaeastmc.direct-ci.com

Organizations & group practices 1

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 2

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1235586546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HUFF DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467369",
            "telephone_number": "910-353-4414",
            "fax_number": "910-353-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625233",
            "telephone_number": "252-672-0095",
            "fax_number": "252-672-9897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N2198 Unc Hospitals",
            "address_2": "CB# 7010",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997010",
            "country_code": "US",
            "telephone_number": "919-966-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLMAN",
        "first_name": "MATTHEW",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "218054",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2020-03533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCMB CERTIFICATE NUMBER (FULL LICENSE ATTAINED 2020)",
            "identifier": "218054",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD GRADUATE MEDICAL TRAINING LICENSE",
            "identifier": "218054",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.