Active NPI
Matthew Allen Devries, M.D.
- Pain Medicine (Anesthesiology) Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 01083840A
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- University of Arkansas College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 S Washington St
Suite C
Kokomo, IN 46901-4601
Phone (765) 450-4601
Hospital & facility affiliations
- Ascension at Home
- Marion General Hospital
- Ascension St Vincent Kokomo
- Community Howard Regional Health Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.54 of 100
- Quality
- 88.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.026947 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Pain Care, P.C. | Current | Accepting new patients | |
| Lafayette Pain Care PC | Current | 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
- 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.
-
- Pain Medicine Physician
- Lafayette, IN
- NPI 1205189594
-
- Interventional Pain Medicine Physician
- Logansport, IN
- NPI 1548970478
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
- Home Health Agency
- Pendleton, IN
- NPI 1942376843
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.