MATTHEW J. SANDERS DO
NPI 1134183072
Emergency Medicine in Delaware, OH
NPI Status: Active since April 17, 2006
Contact Information
561 W CENTRAL AVE
DELAWARE, OH
ZIP 43015
Phone: (740) 369-8711
Fax: (740) 368-5050
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About MATTHEW SANDERS
This page provides the complete NPI Profile along with additional information for Matthew Sanders, a provider established in Delaware, Ohio with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1134183072 assigned on April 2006. The practitioner's primary taxonomy code is 207P00000X with license number 34007608 (OH). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1134183072
- Provider Name
- MATTHEW J. SANDERS DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 561 W CENTRAL AVE DELAWARE, OH 43015
- Location Phone
- (740) 369-8711
- Location Fax
- (740) 368-5050
- Mailing Address
- 4750 HEMPSTEAD STATION DR KETTERING, OH 45429
- Mailing Phone
- (800) 875-0136
- Mailing Fax
- (740) 368-5050
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-17-2006
- Last Update Date
- 07-07-2022
- Code Navigator
Location Map
Secondary Locations
- 1430 Columbus Ave
Washington Court House, OH 43160
(740) 335-1210
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 34007608
- License State
- OH
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000346393 | OTHER (01) | OH | BC/BS # AT GRADY |
| 000000346392 | OTHER (01) | OH | BCBS MEMORIAL |
| P00176742 | OTHER (01) | RAIL ROAD MEDICARE | |
| 2521300 | MEDICAID (05) | OH | |
| 050580516 | OTHER (01) | OH | CIGNA # AT GRADY |
| P00446503 | OTHER (01) | OH | MEDICARE RR |
Medicare Participation & PECOS Enrollment Status
Matthew Sanders is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 14 times for 14 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 21 times for 21 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43015 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MATTHEW J. SANDERS DO
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 8 | 3 | 0 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 8 | 6 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 8 + 6 + 0 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1134183072 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477553584 | GRADY EMERGENCY PHYSICIANS INC. Organization | Emergency Medicine | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 369-8711 |
| 1366406696 | MISTY E ARNOLD MD Individual | Emergency Medicine | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 369-8711 |
| 1598729774 | THOMAS JAMS ZUESI DO Individual | Emergency Medicine | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-1169 |
| 1205890589 | CURTIS W RAMEY MD Individual | Family Medicine | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 369-8711 |
| 1740248327 | MARC A NORMAN PAC Individual | Physician Assistant | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 369-8711 |
| 1518131531 | 24 ON PHYSICIANS, P.C. Organization | Hospitalist | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 368-5633 |
| 1639449085 | MS. JANET S HASH MA, CRC Individual | Counselor (Professional) | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-1352 |
| 1871850958 | DAVID ASHMAN RD, LD Individual | Dietitian, Registered | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-2633 |
| 1629018080 | HEALTHWORKS, LLC Organization | Specialist | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-1324 |
| 1265496103 | DAVID D WATSON MD Individual | Emergency Medicine | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-1153 |
| 1669820015 | MARGARET COOK RPH Individual | Pharmacist | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-2160 |
| 1104274265 | KRISTIN ANNE NEUHART RPH Individual | Pharmacist | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-2160 |
| 1851740120 | PATTI DRUMM Individual | Pharmacist | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-1260 |
| 1477902583 | ARNOLD WOODFIN Individual | Pharmacist | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-2160 |
| 1093202509 | CHRISTI MARIE LEE PT Individual | Physical Therapist | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-2660 |
| 1689157596 | GWYNN SUSAN BARNES PT Individual | Physical Therapist (Orthopedic) | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-2660 |
| 1124501762 | JOY FISHER Individual | Occupational Therapist (Physical Rehabilitation) | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-2660 |
| 1457834103 | MRS. ERICA BORSTELMAN Individual | Physical Therapist | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-2660 |
| 1003399684 | NELETTE MARIN PT Individual | Physical Therapist | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-2660 |
| 1558844688 | JEREMY WOODS Individual | Physical Therapist | 561 W CENTRAL AVE DELAWARE, OH 43015 (740) 615-2660 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134183072, enumerated in the NPI registry as an "individual" on April 17, 2006
The provider is located at 561 W Central Ave Delaware, Oh 43015 and the phone number is (740) 369-8711
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Antidote Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
This NPI record was last updated on April 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.