Individual provider Active NPI

Matthew Ryan Feltner, D.P.M.

  • Podiatrist
  • Campbellsville, KY
National Provider Identifier
1932462645
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
39 Issued in OH
Practice address
1698 Old Lebanon Rd
Ste 3a
Campbellsville, KY 42718-9662
Phone
(270) 465-0632
NPI assigned
Jun 18, 2012
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 39 OH Primary

Addresses

Primary practice location

1698 Old Lebanon Rd
Ste 3a
Campbellsville, KY 42718-9662

Mailing address

274 Shreveport Dr
Campbellsville, KY 42718-9325
Phone (270) 403-1934

Other identifiers 1

IdentifierTypeStateIssuer
7100425730MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160725001298 KY Practitioner - Podiatry 7214220508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1698 Old Lebanon Rd
Campbellsville, KY 42718-9662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue57
Removal of nail tissue194
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39OHMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group LLC CurrentSince Aug 1, 2016 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Feltner Foot and Ankle Podiatrist Current Accepting new patients
Taylor Regional Medical Group, LLC Podiatrist CurrentSince Aug 1, 2016 Accepting new patients

Locations

100 Medical Park Dr
Campbellsville, KY 42718
Phone (270) 465-0632

100 Medical Park Dr
Ste B
Campbellsville, KY 42718
Phone (270) 465-0632

1698 Old Lebanon Rd
Ste 3A
Campbellsville, KY 42718
Phone (270) 465-0632

1858 Old Lebanon Rd
Campbellsville, KY 42718
Phone (270) 465-0632

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1866 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3588

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

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1932462645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 SHREVEPORT DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189325",
            "telephone_number": "270-403-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "address_2": "STE 3A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189662",
            "telephone_number": "270-465-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTNER",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "39",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100425730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.