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Dr. Matthew R Misner , DO

Pediatrics β€’ Goshen, IN

Active NPI 1366637555 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

213 Middlebury St
Goshen, IN 46528

Call 5745343300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

213 Middlebury St

Goshen, IN 46528

Telephone 5745343300
Fax 5745345412
Organization at the Same NPPES Address or Phone
Maple City Health Care Center, Inc. Facility NPI 1033166095

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Goshen, IN; Granger, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Center For Medical Services Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2004

Industry payments (Open Payments)

Fewer than 11 payment records totaling $10.93 in 2019

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2019.

Guide: How to read an Open Payments record

Years since graduation

22 years (graduated 2004)

CMS Doctors and Clinicians data list 2004 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Misner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Misner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Goshen and Indiana

8 active clinicians are listed under Pediatrics with a practice address in Goshen, IN (1,136 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $10.93.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $10.93

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IN 02004768A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA 20A11818

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES VA 0102205035

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OK 4644

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
300019274 (IN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - HOSPICE/PALLIATIVE CARE

Medicare Enrollment ID

I20181011002295

Enrollment State Jurisdiction

IN

PECOS Control ID

8224206149

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Center For Medical Services Llc

211 N Cedar St, Mishawaka, IN 465456923

Phone: 8887324293

Secondary Practice Locations

6913 N Main St Ste 200

Granger, IN 465308039

Phone: 5746474540

808 N 3rd St

Goshen, IN 465287100

Phone: 5745340088

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Dr. Rebecca Bauer , MD

Family Medicine

NPI 1366762445

Doctor of Medicine (M.D.)

Kenneth Craig , MSW

Social Worker - Clinical

NPI 1366988537

Master of Social Work

Susan Derrickson , NP-BC

Nurse Practitioner

NPI 1104691153

NPBC

NPI 1447360623

Doctor of Medicine (M.D.)

Dr. Anna Grady , MD

Family Medicine

NPI 1346653334

Doctor of Medicine (M.D.)

Dr. Thomas Kreider , MD

Psychiatry & Neurology - Psychiatry

NPI 1093770547

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Practice Location August 26, 2019

Registered at 213 MIDDLEBURY ST, GOSHEN, IN 46528 (Tel: 5745343300)

πŸ“
Updated Business Mailing Address August 26, 2019

Registered at 213 MIDDLEBURY ST, GOSHEN, IN 465282956 (Tel: 5745343300)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2019

Pediatrics (license number reported to NPPES: CA 20A11818)

πŸ“
Updated Practice Location November 30, 2018

Registered at 6913 N MAIN ST STE 200, GRANGER, IN 465308039 (Tel: 5746474540)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Pediatrics (license number reported to NPPES: OK 4644)

βœ…
NPI Profile Active October 04, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 04, 2017

Registered at 16244 BENNETT RD, CULPEPER, VA 227014630 (Tel: 5408255381)

πŸ“
Updated Business Mailing Address October 04, 2017

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007

πŸ‘€
Provider Name / Credentials Updated October 04, 2017

Recorded as MATTHEW MISNER, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2017

Pediatrics (license number reported to NPPES: CA 20A11818)

βœ…
NPI Profile Active September 11, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 11, 2014

Registered at 100 S BLISS AVE, TAHLEQUAH, OK 744642512 (Tel: 9184583120)

πŸ“
Business Mailing Address (Initial Record) September 11, 2014

Registered at 2502 LARRY AVE, TAHLEQUAH, OK 744645421 (Tel: 9189398831)

πŸ‘€
Provider Name / Credentials (Initial Record) September 11, 2014

Recorded as MATTHEW MISNER, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2014

Pediatrics (license number reported to NPPES: OK 4644)

🟒
Initial NPI Registration & Enumeration September 11, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366637555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2007
Last Update: August 26, 2019
Sole Proprietor: No

Mailing Address

213 Middlebury St

Goshen, IN 465282956

Phone: 5745343300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.