Individual provider Active NPI

Matthew A Hubbard, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Abingdon, VA
National Provider Identifier
1700100286
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
0101256217 Issued in VA
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

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1700100286MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 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
I20140715000735 VA Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 6406084409 Reassigns benefits to 1 organization
I20190313002871 TN Practitioner - Allergy/Immunology 6406084409 Reassigns benefits to 1 organization

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
Abingdon Ear Nose and Throat Associates PCGroup PAC ID 3971674656, 2 clinicians

Practice addresses (Care Compare)

176 Valley St NW
Abingdon, VA 24210-2859
Phone (276) 628-9547

Hospital & facility affiliations

  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038
  • Russell County Hospital Hospital, Lebanon, VA, CCN 490002

Merit-based Incentive Payment System (MIPS)

Final score
92.64 of 100Reported as group
Quality
85.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abingdon Ear Nose & Throat Associates PC CurrentSince Jun 1, 2014 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.

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

Verify at the official NPI Registry.