Active NPI
Matthew A Hubbard, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 0101256217
- Practice address
- 176 Valley St NW
Abingdon, VA 24210-2859 - Phone
- (276) 628-9547
- NPI assigned
- Mar 26, 2010
- 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/Facial Plastic Surgery Physician | 207YX0905X | 0101256217 | VA | Primary |
Addresses
Primary practice location
176 Valley St NW
Abingdon, VA 24210-2859
Mailing address
PO Box 1328
Abingdon, VA 24212-1328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700100286 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Virginia School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 Valley St NW
Abingdon, VA 24210-2859
Phone (276) 628-9547
Hospital & facility affiliations
- Johnston Memorial Hospital
- Wellmont Bristol Regional Medical Center
- Smyth County Community Hospital
- Russell County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.64 of 100
- Quality
- 85.28
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abingdon Ear Nose & Throat Associates PC | Current | Accepting new patients |
Locations
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
176 Valley St NW
Ste A
Abingdon, VA 24210
176 Valley St NW
Abingdon, VA 24210
Phone (276) 628-9547
Organizations & group practices 1
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 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- General Acute Care Hospital
- Lebanon, VA
- NPI 1891973939
-
- General Acute Care Hospital
- Marion, VA
- NPI 1073519377
-
- General Acute Care Hospital
- Marion, VA
- NPI 1194104687
-
- Durable Medical Equipment & Medical Supplies
- Marion, VA
- NPI 1750433389
Hospital
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1700100286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1328",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242121328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 VALLEY ST NW",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102859",
"telephone_number": "276-628-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "MATTHEW",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-26",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "VA",
"license": "0101256217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700100286",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.