Active NPI
Matthew T Eaton, DO
- Family Medicine Physician
- Monticello, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03959
- Practice address
- 1 S Creek Dr Ste 102
Monticello, KY 42633 - Phone
- (606) 348-3365
- Fax
- (606) 340-3413
- NPI assigned
- Jul 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116025303 | VA | |
| Family Medicine Physician | 207Q00000X | 03959 | KY | Primary |
Addresses
Primary practice location
1 S Creek Dr Ste 102
Monticello, KY 42633
Mailing address
1 S Creek Dr Ste 102
Monticello, KY 42633-9472
Phone (606) 348-3365
Other practice location 1
858 Eastern Byp
Richmond, KY 40475-2512
Phone (859) 626-0072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160722001510 | KY | Practitioner - Family Practice | 7315230745 | Reassigns benefits to 2 organizations |
| I20231019002459 | OH | Practitioner - Family Practice | 7315230745 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Monticello Medical Associates, Inc.Recover Together Inc
Practice addresses (Care Compare)
1 S Creek Dr
Suite 102
Monticello, KY 42633-9472
Phone 60634833658
1501 S Main St
Suite H
London, KY 40741-2091
Phone (800) 683-8313
Hospital & facility affiliations
- Wayne County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03959 | KY | MD | Family Medicine Physician |
| 0116025303 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recover Together, Inc. | Family Medicine | Current | Accepting new patients |
Locations
1480 W Cumberland Gap Pkwy
Corbin, KY 40701
Phone (606) 393-6695
277 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 435-0888
1501 S Main St
Ste H
London, KY 40741
Phone (270) 634-0472
111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547
Interoperability endpoints
- matthew.eaton@493838767882244.direct.elationemr.com
- mattheweaton@mmaky.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- London, KY
- NPI 1346736758
Family Medicine, KY
-
- Federally Qualified Health Center (FQHC)
- Monticello, KY
- NPI 1063007672
KY
-
- Adult Mental Health Clinic/Center
- Lawrenceburg, IN
- NPI 1891102497
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": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1336494772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S CREEK DR STE 102",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426339472",
"telephone_number": "606-348-3365",
"fax_number": "606-348-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S CREEK DR STE 102",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "42633",
"telephone_number": "606-348-3365",
"fax_number": "606-340-3413"
}
],
"practiceLocations": [
{
"address_1": "858 Eastern Byp",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404752512",
"country_code": "US",
"telephone_number": "859-626-0072",
"fax_number": "859-626-9684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EATON",
"first_name": "MATTHEW",
"middle_name": "T",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-23",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116025303",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "03959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.