Individual provider Active NPI

Matthew T Eaton, DO

  • Family Medicine Physician
  • Monticello, KY
National Provider Identifier
1336494772
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03959 Issued in KY
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

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 2062409154, 11 clinicians
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

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 Hospital, Monticello, KY, CCN 181321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03959KYMDFamily Medicine Physician
0116025303VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, Inc. Family Medicine CurrentSince Aug 9, 2023 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

  • Direct secure messaging: matthew.eaton@493838767882244.direct.elationemr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.