NPIMap

Individual provider Active NPI

Matthew Stephen Viscito, M.D.

  • Family Medicine Physician
  • Grafton, ND
National Provider Identifier
1497969570
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10982 Issued in ND
Practice address
164 W 13TH St
Grafton, ND 58237-1826
Phone
(701) 352-1620
Fax
(701) 352-9381
NPI assigned
May 9, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10982 ND Primary

Addresses

Primary practice location

164 W 13TH St
Grafton, ND 58237-1826

Mailing address

164 W 13TH St
Grafton, ND 58237-1826
Phone (701) 352-1620

Other identifiers 1

IdentifierTypeStateIssuer
18369MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081028000023 ND Practitioner - Family Practice 9537227079 Reassigns benefits to 2 organizations
I20090324000554 MN Practitioner - Emergency MedicinePractitioner - Family Practice 9537227079 Reassigns benefits to 5 organizations
I20220103000807 MN Practitioner - Family Practice 9537227079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

164 W 13TH St
Grafton, ND 58237-1826
Phone (701) 352-1620

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
88.07
Promoting interoperability
100
Improvement activities
40
Cost
74.95

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
90.28
Promoting interoperability
100
Improvement activities
40
Cost
72.7

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network North Family Medicine CurrentSince Sep 29, 2021 Accepting new patients
Christian Unity Hospital Corporation Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Sanford Health Network North CurrentSince Sep 29, 2021 Accepting new patients
Sanford Health Network North Current Accepting new patients
Riverview Healthcare Association CurrentSince Aug 1, 2011 Accepting new patients
Riverview Healthcare Association CurrentSince Aug 1, 2011 Accepting new patients
Riverview Healthcare Association CurrentSince Dec 20, 2025 Accepting new patients
Lutheran Sunset Home Corporation Past Accepting new patients
Christian Unity Hospital Corporation Past Accepting new patients
Twin Cities Medical Imaging, LLC Past Accepting new patients
Aurora Urgent Care LLC PastSince Oct 1, 2006 Accepting new patients

Locations

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

1010 S Birch Ave
Hallock, MN 56728
Phone (218) 843-3612

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240

164 W 13th St
Grafton, ND 58237
Phone (701) 352-1620

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unity Medical CenterGrafton, ND, CCN 351320 Hospital Corporate Director (100%) Aug 1, 2018
Unity Medical CenterGrafton, ND, CCN 35Z320 Hospital Corporate Director (100%) Aug 1, 2018
Lutheran Sunset HomeGrafton, ND, CCN 355084 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2017
Feb 1, 2017
Unity Medical Center/Grafton Family ClinicGrafton, ND, CCN 353978 Rural health clinic Corporate Director (5%) Jun 27, 2017
Park River Family ClinicPark River, ND, CCN 358507 Rural health clinic Corporate Director (100%) Jun 27, 2017

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497969570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W 13TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371826",
            "telephone_number": "701-352-1620",
            "fax_number": "701-352-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 13TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371826",
            "telephone_number": "701-352-1620",
            "fax_number": "701-352-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCITO",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "10982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18369",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, ND

Sources for this page

Verify at the official NPI Registry.