Individual provider Active NPI

Matthew David Truscello, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Clarksville, TN
National Provider Identifier
1437397007
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00359 Issued in KY
Practice address
135 Chesepeake Lane
Suite 104
Clarksville, TN 37040-5165
Phone
(931) 245-1920
Fax
(931) 245-1929
NPI assigned
Feb 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00359 KY Primary

Addresses

Primary practice location

135 Chesepeake Lane
Suite 104
Clarksville, TN 37040-5165

Mailing address

135 Chesepeake Lane
Suite 104
Clarksville, TN 37040-5165
Phone (931) 245-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120120000267 TN Practitioner - Podiatry 4385811066 Reassigns benefits to 1 organization
I20120402000601 KY Practitioner - Podiatry 4385811066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Foot and Ankle Center PLCGroup PAC ID 4284771114, 6 clinicians

Practice addresses (Care Compare)

135 Chesapeake LN
Suite 104
Clarksville, TN 37040-5453
Phone (931) 245-1920

4895 E Main St
Suite B
Erin, TN 37061-4115
Phone (931) 245-1920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.9 of 100Reported as group
Quality
57.13
Improvement activities
40
Cost
45.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue123
Removal of skin lesions24
Removal of nail tissue792
Removal or shaving of skin growth217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00359KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Foot and Ankle Center, PLC Foot & Ankle Surgery CurrentSince Dec 10, 2011 Accepting new patients

Locations

1910 S Virginia St
Hopkinsville, KY 42240
Phone (270) 707-3454

1910 S Virginia St
Ste 106
Hopkinsville, KY 42240
Phone (270) 889-0282

135 Chesapeake Ln
Ste 104
Clarksville, TN 37040

647 Dunlop Ln
Ste 209
Clarksville, TN 37040
Phone (615) 851-0144

4895 E Main St
Erin, TN 37061
Phone (615) 441-4574

4230 Harding Pike
Ste G12
Nashville, TN 37205
Phone (615) 301-7054

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 2

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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1437397007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CHESEPEAKE LANE",
            "address_2": "SUITE 104",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405165",
            "telephone_number": "931-245-1920",
            "fax_number": "931-245-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CHESEPEAKE LANE",
            "address_2": "SUITE 104",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405165",
            "telephone_number": "931-245-1920",
            "fax_number": "931-245-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSCELLO",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.