Individual provider Active NPI

Matthew Scott Stevens, M.D.

  • Otolaryngology Physician
  • Tupelo, MS
National Provider Identifier
1447494570
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
23029 Issued in MS
Practice address
618 Pegram Dr.
Tupelo, MS 38801-6632
Phone
(662) 844-6513
Fax
(662) 844-1113
NPI assigned
Apr 20, 2009
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 23029 MS Primary

Addresses

Primary practice location

618 Pegram Dr.
Tupelo, MS 38801-6632

Mailing address

618 Pegram Dr
P O Box 2180
Tupelo, MS 38801-6322
Phone (662) 844-6513

Other identifiers 1

IdentifierTypeStateIssuer
03177353MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20140724000588 MS Practitioner - Otolaryngology 0143446336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Mississippi School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose and Throat Physicians of North Miss., P.aGroup PAC ID 8729053343, 22 clinicians

Practice addresses (Care Compare)

2907 Hwy 72 W
Corinth, MS 38834-9399
Phone (662) 396-4104

618 Pegram Dr
Tupelo, MS 38801-6322
Phone (601) 844-6513

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
74.06
Promoting interoperability
85
Improvement activities
40
Cost
81.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23029MSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
Ear, Nose & Throat Physicians of North Miss., P.a. Otolaryngology CurrentSince Jul 1, 2014 Accepting new patients
Premier Radiology, Inc Past Accepting new patients

Locations

2907 Highway 72 W
Corinth, MS 38834
Phone (662) 396-4104

618 Pegram Dr
Tupelo, MS 38801
Phone (601) 841-3000

Interoperability endpoints

  • Direct secure messaging: matthewstevens@nmhs.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1447494570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PEGRAM DR",
            "address_2": "P O BOX 2180",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016322",
            "telephone_number": "662-844-6513",
            "fax_number": "662-844-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PEGRAM DR.",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016632",
            "telephone_number": "662-844-6513",
            "fax_number": "662-844-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "23029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03177353",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.