Individual provider Active NPI

Matthew Marcotte, D.C.

  • Chiropractor
  • Lewis Center, OH
National Provider Identifier
1386677946
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3745 Issued in OH
Practice address
8611 Columbus Pike
Lewis Center, OH 43035-9614
Phone
(614) 839-1044
Fax
(740) 879-2813
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 041340 OH
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 3745 OH
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 50.002737RX OH
Chiropractor 111N00000X 3745 OH Primary

Addresses

Primary practice location

8611 Columbus Pike
Lewis Center, OH 43035-9614

Mailing address

8611 Columbus Pike
Lewis Center, OH 43035-9614
Phone (614) 839-1044

Other identifiers 2

IdentifierTypeStateIssuer
P30929FOtherMIBLUE CARE NETWORK
950B376090OtherMIBLUE CROSS

Other names 1

  • Dr. Matthew Marcotte Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000096 OH Practitioner - Chiropractic 5294835203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8611 Columbus Pike
Lewis Center, OH 43035-9614
Phone (614) 839-1044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3745OHMDChiropractor
041340OHMDInternal Medicine Physician
50.002737RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Center, LLC Chiropractor CurrentSince Jun 12, 2007 Accepting new patients
Total Health Spine & Sport, P.C. Chiropractor PastSince Sep 20, 2010 Accepting new patients

Locations

8621 Columbus Pike
Lewis Center, OH 43035
Phone (614) 839-1044

8611 Columbus Pike
Lewis Center, OH 43035
Phone (614) 839-1044

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1386677946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359614",
            "telephone_number": "614-839-1044",
            "fax_number": "740-879-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359614",
            "telephone_number": "614-839-1044",
            "fax_number": "740-879-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOTTE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-09-27",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "041340",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "3745",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002737RX",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P30929F",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "950B376090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "MARCOTTE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.