Active NPI
Matthew Scott Stevens, M.D.
- Otolaryngology Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 23029
- 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, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03177353 | Medicaid | MS |
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
Enrollment records 1
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
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 100
- Quality
- 74.06
- Promoting interoperability
- 85
- Improvement activities
- 40
- Cost
- 81.53
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23029 | MS | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| Ear, Nose & Throat Physicians of North Miss., P.a. | Otolaryngology | Current | 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
- 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.
-
- Otolaryngology Physician
- Tupelo, MS
- NPI 1861507311
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1083669121
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
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
- Stephanie Harding, DDS of Mississippi II, PLLC (Affordable Dentures & Implants - Tupelo)
- Natasha Stephens, FNP-C
- Kelly Sterling-Gregory, OTR
- Steve Beaty, O.D., PLLC
- Jacob Stevens, MA, PLPC, CMHT
- Nikita Shanta Stevens
- William Burl Stevens II, DMD
- William McKinley Steward
- Estha Stewart, RPH
- Lauren Stewart
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.