MATTHEW CHRISTOPHER DALE PA-C
NPI 1700443512
Physician Assistant in Fort Campbell, KY
NPI Status: Active since May 28, 2019
Contact Information
650 JOEL DR
FORT CAMPBELL, KY
ZIP 42223
Phone: (270) 798-8400
- Individual
- Male
- Physician Assistant
- PECOS Enrolled
About MATTHEW DALE
This page provides the complete NPI Profile along with additional information for Matthew Dale, a primary care provider established in Fort Campbell, Kentucky with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1700443512 assigned on May 2019. The practitioner's primary taxonomy code is 363A00000X with license number 50.007385 (OH). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1700443512
- Provider Name
- MATTHEW CHRISTOPHER DALE PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 650 JOEL DR FORT CAMPBELL, KY 42223
- Location Phone
- (270) 798-8400
- Mailing Address
- 4118 28TH ST CINCINNATI, OH 45209
- Mailing Phone
- (803) 237-5114
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-28-2019
- Last Update Date
- 02-17-2022
- Code Navigator
A primary care provider (PCP) like Matthew Dale sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 50.007385
- License State
- OH
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 4312 (TN) |
Medicare Participation & PECOS Enrollment Status
Matthew Dale 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
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
Emergency department visit for problem of high severity
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
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 11 times for 11 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 11 times for 11 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 17 times for 15 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 14 times for 14 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 42223 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.24
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $20.56
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.24
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $16.56
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* 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.
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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 | 7 | 0 | 0 | 4 | 4 | 3 | 5 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 8 | 4 | 6 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 8 + 4 + 6 + 5 + 2 + 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 1700443512 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 |
|---|---|---|---|
| 1801880620 | DR. RUFUS WILLIAM MOORE JR. M.D. Individual | Internal Medicine | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL,RM3CB39 FORT CAMPBELL, KY 42223 (270) 798-8400 |
| 1427048909 | MRS. MICHAEL L PLACE II Individual | Family Medicine | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL FORT CAMPBELL, KY 42223 (270) 798-8016 |
| 1841261740 | MRS. AMY A BLANK CCC-A Individual | Audiologist | 650 JOEL DR FORT CAMPBELL, KY 42223 (270) 412-7804 |
| 1447225826 | MRS. SUSAN LORRAINE HIGHTOWER MSN, ARNP, FNP-C Individual | Nurse Practitioner (Family) | 650 JOEL DR FORT CAMPBELL, KY 42223 (270) 798-8435 |
| 1467427724 | RONALD HOCKIN MSA, MSSW, LMSW Individual | Social Worker (Clinical) | 650 JOEL DR FORT CAMPBELL, KY 42223 (270) 798-8601 |
| 1023083920 | DR. LISA MICHELLE PIERSON M.D. Individual | Obstetrics & Gynecology | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL FORT CAMPBELL, KY 42223 (270) 798-8816 |
| 1629043609 | KEITH A WILSON LCSW Individual | Social Worker (Clinical) | 650 JOEL DR FORT CAMPBELL, KY 42223 (270) 798-8601 |
| 1396710323 | MRS. ANITA JOAN LOVETT LCSW Individual | Social Worker (Clinical) | 650 JOEL DR FORT CAMPBELL, KY 42223 (270) 798-8601 |
| 1922074657 | PAUL KENNETH BIRNEY M.D. Individual | Family Medicine | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL FORT CAMPBELL, KY 42223 (270) 956-0138 |
| 1497721237 | MR. GLENN DEWAYNE SCHUSTER LCSW Individual | Social Worker (Clinical) | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL FORT CAMPBELL, KY 42223 (270) 798-8765 |
| 1639144439 | DR. MICHAEL CRAIG GLENN D.C. Individual | Chiropractor | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL FT. CAMPBELL, KY 42223 (270) 798-8727 |
| 1609842475 | MS. CECELIA FRANCES MAIER LCSW Individual | Social Worker (Clinical) | 650 JOEL DR FORT CAMPBELL, KY 42223 (270) 798-8601 |
| 1851367635 | KARA BEAN AU.D. Individual | Audiologist | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL FORT CAMPBELL, KY 42223 (270) 798-8131 |
| 1316913981 | MRS. ELLEN S TAYLOR Individual | Speech-Language Pathologist | 650 JOEL DR BLANCHFIELD COMMUNITY ARMY HOSPITAL FORT CAMPBELL, KY 42223 (270) 798-8372 |
| 1245206622 | MR. LEANDRO SOLIS Individual | Physician Assistant | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL FORT CAMPBELL, KY 42223 (270) 798-8372 |
| 1770559155 | MS. CHERYL ANN MORSE PA-C Individual | Physician Assistant | 650 JOEL DR FORT CAMPBELL, KY 42223 (270) 798-8327 |
| 1871569178 | DAVID EDWARD MENDOZA MD Individual | Pathology (Anatomic Pathology) | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL FT. CAMPBELL, KY 42223 (270) 798-8372 |
| 1790751022 | DR. PHILLIP DANIEL BROOKS M.D. Individual | Radiology (Diagnostic Radiology) | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL FT. CAMPBELL, KY 42223 (270) 798-8372 |
| 1457327611 | ELIZABETH M BALTENSPERGER Individual | Social Worker (Clinical) | 650 JOEL DR DEPARTMENT OF SOCIAL WORK FORT CAMPBELL, KY 42223 (270) 798-8601 |
| 1851369326 | MS. RHONDA HARRIS Individual | Social Worker | 650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL FORT CAMPBELL, KY 42223 (270) 798-8372 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700443512, enumerated in the NPI registry as an "individual" on May 28, 2019
The provider is located at 650 Joel Dr Fort Campbell, Ky 42223 and the phone number is (270) 798-8400
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
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 $82.24 with an average copayment of $20.56 for new patient appointments. Established patients should expect a typical charge of $66.24 and an average copayment of 16.56. 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, Emergency department visit for problem of high severity, Established patient office or other outpatient visit, 20-29 minutes and New patient office or other outpatient visit, 30-44 minutes.
This NPI record was last updated on May 28, 2019. 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].
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