NPIMap

Individual provider Active NPI

Matthew S Vasko, MD

  • Family Medicine Physician
  • Anna, OH
National Provider Identifier
1568414142
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-086084 Issued in OH
Practice address
104 Diamond Dr
Anna, OH 45302
Phone
(937) 394-2900
Fax
(937) 394-3602
NPI assigned
May 16, 2006
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 35-086084 OH Primary

Addresses

Primary practice location

104 Diamond Dr
Anna, OH 45302

Mailing address

915 West Michigan St
Sidney, OH 45365-2401
Phone (937) 394-2900

Other identifiers 1

IdentifierTypeStateIssuer
2668760MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthew.vasko@wilsonhospital.medicity.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060602000009 OH Practitioner - Family Practice 2365453545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Care, LLCGroup PAC ID 4385549666, 58 clinicians

Practice addresses (Care Compare)

104 Diamond Dr
Anna, OH 45302-8553
Phone (937) 394-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
81.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-086084OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Care, LLC Family Medicine CurrentSince Aug 7, 2006 Accepting new patients
Wilson Urgent Care CurrentSince Aug 7, 2006 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ohio Living Communities Past Accepting new patients

Locations

104 Diamond Dr
Anna, OH 45302
Phone (937) 394-2900

111 E Lynn St
Botkins, OH 45306
Phone (937) 693-1541

11531 State Route 66
Minster, OH 45865
Phone (937) 295-2949

1079 Fairington Dr
Sidney, OH 45365
Phone (937) 419-8015

1205 Fairington Dr
Sidney, OH 45365
Phone (937) 492-8431

661 N Vandemark Rd
Sidney, OH 45365
Phone (937) 419-5010

750 S 4th Ave
Sidney, OH 45365
Phone (937) 497-2200

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

915 Michigan St
Ste 100
Sidney, OH 45365
Phone (937) 419-8049

915 Michigan St
Ste 204
Sidney, OH 45365
Phone (419) 996-5224

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.vasko@wilsonhospital.medicity.net
  • Direct secure messaging: mvasko1538053@direct.osumc.edu

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Wilson HealthSidney, OH, CCN 360013 Hospital Corporate Director Apr 1, 2025
Wilson HealthSidney, OH, CCN 367238 Home health agency Corporate Director Apr 1, 2025

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 4

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 9

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1568414142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 WEST MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-394-2900",
            "fax_number": "937-394-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DIAMOND DR",
            "city": "ANNA",
            "state": "OH",
            "postal_code": "45302",
            "telephone_number": "937-394-2900",
            "fax_number": "937-394-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASKO",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-086084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2668760",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.vasko@wilsonhospital.medicity.net",
            "affiliation": "N",
            "address_1": "104 Diamond Dr",
            "city": "Anna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anna, OH

Sources for this page

Verify at the official NPI Registry.