Individual provider Active NPI

Matthew Thomas Yeatman, M.D.

  • Gastroenterology Physician
  • Frederick, MD
National Provider Identifier
1508869827
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0058398 Issued in MD
Practice address
7109 Guilford Dr Ste 300
Frederick, MD 21704-5179
Phone
(301) 695-6800
Fax
(301) 695-6891
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0058398 MD Primary

Addresses

Primary practice location

7109 Guilford Dr Ste 300
Frederick, MD 21704-5179

Mailing address

7109 Guilford Dr Ste 300
Frederick, MD 21704-5179
Phone (301) 695-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040426001218 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 3173510914 Reassigns benefits to 1 organization
I20220812000921 DC Practitioner - Gastroenterology 3173510914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Maryland School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Gastroenterology Associates PAGroup PAC ID 8022058650, 16 clinicians

Practice addresses (Care Compare)

15215 Shady Grove Rd
Suite 203
Rockville, MD 20850-6207
Phone (301) 695-6800

3430 Worthington Blvd
Suite 206
Frederick, MD 21704-7019
Phone (301) 695-6800

Hospital & facility affiliations

  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065

Merit-based Incentive Payment System (MIPS)

Final score
67.31 of 100Reported as group
Quality
39.15
Promoting interoperability
89
Improvement activities
40
Cost
61.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy101
Upper gastrointestinal (GI) endoscopy for acid reflux95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0058398MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Gastroenterology Associates PA Gastroenterology CurrentSince Jun 27, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

621 Ridgely Ave
Annapolis, MD 21401
Phone (410) 224-4887

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

621 Ridgely Ave
Ste 404
Annapolis, MD 21401

610 9th Ave
Brunswick, MD 21716
Phone (301) 834-7188

310 W 9th St
Frederick, MD 21701
Phone (301) 694-5900

7109 Guilford Dr
Ste 300
Frederick, MD 21704
Phone (301) 695-6800

15215 Shady Grove Rd
Ste 203
Rockville, MD 20850
Phone (301) 500-0374

3430 Worthington Blvd
Ste 206
Urbana, MD 21704
Phone (301) 695-6800

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1508869827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 GUILFORD DR STE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045179",
            "telephone_number": "301-695-6800",
            "fax_number": "301-695-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 GUILFORD DR STE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045179",
            "telephone_number": "301-695-6800",
            "fax_number": "301-695-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATMAN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0058398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.