Active NPI
Matthew Graen Hodges, D.O.
- Physical Medicine & Rehabilitation Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 34-00-8814-H
- Practice address
- 3205 Woodman Dr
Dayton, OH 45420-1143 - Phone
- (937) 298-4417
- Fax
- (937) 298-8260
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS012397 | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 34-00-8814-H | OH | Primary |
Addresses
Primary practice location
3205 Woodman Dr
Dayton, OH 45420-1143
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 713-1779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2668699 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Physical Medicine and Rehabilitation
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700
Hospital & facility affiliations
- Kettering Health Main Campus
- Miami Valley Hospital
- Kettering Health Dayton
- Upper Valley Medical Center
- Kettering Health Miamisburg
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS012397 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Orthopaedics & Sports Medicine LTD | Current | Accepting new patients | |
| Beacon Orthopaedics & Sports Medicine, LTD | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827
6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650
3205 Woodman Dr
Kettering, OH 45420
Phone (937) 298-4417
360 W Central Ave
Springboro, OH 45066
Phone (937) 208-7100
70 Weller Dr
Tipp City, OH 45371
Phone (937) 298-4417
Interoperability endpoints
- mhodges@direct-orthodayton.com
- matthew.hodges.p1@direct.beaconortho.nextgenshare.com
- matthewhodges@dsr.allscriptsdirect.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 and National Provider Directory roles.
-
- Specialist
- Cincinnati, OH
- NPI 1386670065
-
- Orthopaedic Foot and Ankle Surgery Physician
- Worthington, OH
- NPI 1699472878
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1639194871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "513-713-1779",
"fax_number": "513-854-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 WOODMAN DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201143",
"telephone_number": "937-298-4417",
"fax_number": "937-298-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "MATTHEW",
"middle_name": "GRAEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "OS012397",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "34-00-8814-H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2668699",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.