Brian Martin Matthys, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2000152165 Issued in MO

Practice address

1805 NW Platte Rd
Suite 120
Riverside, MO 64150-9601

Phone

(816) 472-0400

NPI assigned

Jun 26, 2006

Last updated

Feb 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Dermatology

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of Missouri LLCGroup PAC ID 1153689294, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.84 of 100Reported as group

Quality

80.25

Promoting interoperability

100

Improvement activities

40

Cost

82.55

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bmatthys@epiphanyderm.emadirect.md
• Direct secure messaging: bmatthys@epiphanykc.emadirect.md

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.

• Epiphany Dermatology of Missouri, LLC

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1528573342
  Medicare reassignment Care Compare group NPD
• Dermatology Associates, Inc.

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1205933546
  NPD (past)
• The Headache & Pain Center, P. a.

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1972570414
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1982631172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 SAGAMORE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062313",
            "telephone_number": "913-707-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 NW PLATTE RD",
            "address_2": "SUITE 120",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509601",
            "telephone_number": "816-472-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHYS",
        "first_name": "BRIAN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2000152165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Webb Enterprises Inc (Windemere Residential Care)
• Kendallwood Hospice Company
• Rachel Lynn Kimmich, PT, DPT
• Bethany Knauth
• Darren Lea, PHARM.D.
• Medical One Inc
• Molly Bea Menser, D.O.
• Meritas Health Occupational Medicine, Inc (Meritas Health Occupational Medicine - Riverside)
• Michael D Arnett, DDS, PC (Briarcliff Dental Care)
• Robert Alan Mitchell, PT, BSPT

• Dermatology Physician in Riverside, MO
• Providers in Riverside, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.