Individual provider Active NPI

Matthew Allen Devries, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lafayette, IN
National Provider Identifier
1386030740
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
01083840A Issued in IN
Practice address
770 Park East Blvd Ste B
Lafayette, IN 47905-0786
Phone
(765) 714-4344
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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 57.026947 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 01083840A IN Primary

Addresses

Primary practice location

770 Park East Blvd Ste B
Lafayette, IN 47905-0786

Mailing address

231 Albert Sabin Way
Cincinnati, OH 45267-0531
Phone (513) 558-6356

Other practice location 1

234 Goodman St
Cincinnati, OH 45219-2364
Phone (513) 584-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthew.devries@1346.securemail.prognocis.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200710001293 IN Practitioner - Interventional Pain ManagementPractitioner - Pain Management 8224341524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Pain Care, P.C.Group PAC ID 3678728680, 8 clinicians

Practice addresses (Care Compare)

107 S Washington St
Suite C
Kokomo, IN 46901-4601
Phone (765) 450-4601

Hospital & facility affiliations

  • Ascension at Home Home health agency, Pendleton, IN, CCN 157059
  • Marion General Hospital Hospital, Marion, IN, CCN 150011
  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Community Howard Regional Health Inc. Hospital, Kokomo, IN, CCN 150007

Merit-based Incentive Payment System (MIPS)

Final score
98.54 of 100Reported as individual
Quality
88.44
Promoting interoperability
99
Improvement activities
40
Cost
82.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.026947OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Pain Care, P.C. CurrentSince Jun 11, 2020 Accepting new patients
Lafayette Pain Care PC CurrentSince Jun 11, 2020 Accepting new patients

Locations

107 S Washington St
Ste C
Kokomo, IN 46901
Phone (317) 798-0040

107 S Washington St
Ste A
Kokomo, IN 46901
Phone (765) 450-6735

770 Park East Blvd
Ste B
Lafayette, IN 47905
Phone (765) 366-4344

1127 N Western Ave
Marion, IN 46952
Phone (765) 661-2994

707 N River Dr
Marion, IN 46952
Phone (765) 573-5999

1207 E Grace St
Rensselaer, IN 47978
Phone (800) 541-8142

412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496

613 Terrace Dr
Winamac, IN 46996
Phone (574) 946-4290

Interoperability endpoints

  • Direct secure messaging: matthew.devries@1346.securemail.prognocis.com

Organizations & group practices 2

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 7

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1386030740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670531",
            "telephone_number": "513-558-6356",
            "fax_number": "513-558-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PARK EAST BLVD STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050786",
            "telephone_number": "765-714-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Goodman St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192364",
            "country_code": "US",
            "telephone_number": "513-584-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "MATTHEW",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "57.026947",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01083840A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.devries@1346.securemail.prognocis.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "770 Park East Blvd Ste B",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479050786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.