NPIMap

Individual provider Active NPI

Matthew David Roehrs, DO

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1740774157
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018020717 Issued in MO
Practice address
1 Hospital Dr # Dc032.00
Columbia, MO 65212-1000
Phone
(573) 884-7733
Fax
(573) 882-6228
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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 2018020717 MO Primary

Addresses

Primary practice location

1 Hospital Dr # Dc032.00
Columbia, MO 65212-1000

Mailing address

1 Hospital Dr # Dc032.00
Columbia, MO 65212-1000
Phone (573) 884-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210907002570 MO Practitioner - Family Practice 8527314921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians
Cherry Health Center, LLCGroup PAC ID 1355317033, 97 clinicians

Practice addresses (Care Compare)

302 S 65 Hwy
Bothwell Lincoln Family Medicine
Lincoln, MO 65338-2586
Phone (660) 547-3915

607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000

Hospital & facility affiliations

  • Benton County Health Department Home Health Agency Home health agency, Warsaw, MO, CCN 267223
  • Phoenix Home Care Home health agency, Jefferson City, MO, CCN 267597
  • Elara Caring Home health agency, Jefferson City, MO, CCN 267600
  • Novus Lifecare Home health agency, Clinton, MO, CCN 267182
  • Benton County Hospice Hospice, Warsaw, MO, CCN 261577
  • Acg Hospice Hospice, Lee'S Summit, MO, CCN 261703
  • Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009
  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175
  • Good Samaritan Care Center Nursing home, Cole Camp, MO, CCN 265770
  • Lincoln Community Care Center Nursing home, Lincoln, MO, CCN 265761

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions64
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bothwell Regional Health Center CurrentSince Sep 13, 2021 Accepting new patients
Bothwell Regional Health Center Family Medicine CurrentSince Sep 13, 2021 Accepting new patients
Bothwell Regional Health Center Current Accepting new patients
Lincoln Community Nursing Home Past Accepting new patients
Good Samaritan Nursing Home Past Accepting new patients

Locations

302 N 65 Hwy
Lincoln, MO 65338
Phone (660) 547-3915

302 S 65 Hwy
Lincoln, MO 65338
Phone (660) 547-3915

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

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
Good Samaritan Care CenterCole Camp, MO, CCN 265770 Skilled nursing facility Corporate Officer
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Sep 19, 2025
Lincoln Community Care CenterLincoln, MO, CCN 265761 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2020
Jun 20, 2022

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 6

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 11

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1740774157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR # DC032.00",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-7733",
            "fax_number": "573-882-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR # DC032.00",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-7733",
            "fax_number": "573-882-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEHRS",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018020717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.