Individual provider Active NPI

Matthew Parker Willis, MD

  • Orthopaedic Surgery Physician
  • Nashville, TN
National Provider Identifier
1912027491
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
45623 Issued in TN
Practice address
2400 Patterson St Ste 100
Nashville, TN 37203-2385
Phone
(615) 342-0038
Fax
(615) 329-4469
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 45623 TN Primary

Addresses

Primary practice location

2400 Patterson St Ste 100
Nashville, TN 37203-2385

Mailing address

2400 Patterson St Ste 100
Nashville, TN 37203-2385
Phone (615) 342-0038

Other identifiers 1

IdentifierTypeStateIssuer
1519852MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000000 TN Practitioner - Orthopedic Surgery 4284786385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristar Joint Replacement Institute LLCGroup PAC ID 1658693015, 36 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 100
Nashville, TN 37203-2385
Phone (615) 342-0038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
80.25
Promoting interoperability
100
Improvement activities
40
Cost
85.56

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

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)53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45623TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Jun 16, 2015 Accepting new patients
Tristar Joint Replacement Institute, LLC Orthopaedic Surgery CurrentSince Sep 5, 2023 Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery CurrentSince Jun 16, 2015 Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery Current Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

8 City Blvd
Nashville, TN 37209
Phone (615) 263-0178

8 City Blvd
Ste 200
Nashville, TN 37209
Phone (615) 263-0178

2400 Patterson St
Ste 100
Nashville, TN 37203

608 Norris Ave
Nashville, TN 37204

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

8 City Blvd
Ste 300
Nashville, TN 37209

Interoperability endpoints

  • Direct secure messaging: matthew.willis@hca1.eclinicaldirectplus.com
  • Direct secure messaging: matthew.willis.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: matthew.willis.p3@direct.toa.nextgenshare.com

Organizations & group practices 5

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 2

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1912027491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032385",
            "telephone_number": "615-342-0038",
            "fax_number": "615-329-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032385",
            "telephone_number": "615-342-0038",
            "fax_number": "615-329-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MATTHEW",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "45623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519852",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.