NPIMap

Individual provider Active NPI

Matthew Hutchison, D.O.

  • Orthopaedic Surgery Physician
  • Largo, FL
National Provider Identifier
1871898585
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS12596 Issued in FL
Practice address
1345 W Bay Dr
Suite 401 & 402
Largo, FL 33770-2282
Phone
(813) 855-8450
NPI assigned
Jan 12, 2011
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS12596 FL Primary

Addresses

Primary practice location

1345 W Bay Dr
Suite 401 & 402
Largo, FL 33770-2282

Mailing address

1345 W Bay Dr Ste 401
Largo, FL 33770-2264
Phone (727) 819-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240513002850 GA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 9234356130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Bone and Joint, LLCGroup PAC ID 0446291140, 49 clinicians
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

1755 Hwy 34 E
Suite 2200
Newnan, GA 30265-3190
Phone (770) 502-2175

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Bone & Joint, LLC Orthopaedic Surgery CurrentSince May 1, 2024 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Nov 30, 2024 Accepting new patients
Georgia Bone & Joint, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

10001 Town Center Dr
Covington, GA 30014
Phone (770) 254-7843

125 Grand Oak Dr
Fayetteville, GA 30214
Phone (770) 626-5340

1015 Lafayette Pkwy
Ste 210
Lagrange, GA 30241
Phone (706) 668-4097

1755 Highway 34 E
Ste 1300
Newnan, GA 30265
Phone (770) 254-7850

1755 Highway 34 E
Ste 2200
Newnan, GA 30265
Phone (770) 502-2151

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

145 Medical Blvd
Stockbridge, GA 30281
Phone (770) 386-8386

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: mhutchison210551@cityofhope.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1871898585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W BAY DR STE 401",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702264",
            "telephone_number": "727-819-4411",
            "fax_number": "727-223-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W BAY DR",
            "address_2": "SUITE 401 & 402",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702282",
            "telephone_number": "813-855-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-12",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS12596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.