Matthew Middaugh, M.D.
NPI 1528325586 · Internal Medicine Physician · Austin, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Middaugh, M.D. is a Internal Medicine Physician provider in Austin, TX (NPI 1528325586).
Provider details
- NPI number
- 1528325586
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 48292 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
855 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 416 | $80 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 255 | $122 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 147 | $115 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 37 | $177 |
Typical Medicare-allowed amounts for these services range $80–$177 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 31 | 30 |
| Furosemide | 23 | 19 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 22 | 22 |
| Cephalexin | 19 | 19 |
| Atorvastatin Calcium | 18 | 14 |
| Apixabanbrand: Eliquis | 17 | — |
| Doxycycline Hyclate | 14 | 14 |
Practice location
Mailing address
Additional practice locations (1)
- 200 Abraham Flexner WayLouisville, KY 40202-1886Phone: (502) 569-7983Fax: (502) 589-4989
Registry dates
- Enumerated
- 2012-04-16
- Last updated
- 2017-12-19
Frequently asked questions
- What is Matthew Middaugh's NPI number?
- Matthew Middaugh's National Provider Identifier (NPI) is 1528325586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Middaugh's specialty?
- Matthew Middaugh is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Middaugh located?
- Matthew Middaugh's practice location on file with NPPES is 12221 N Mo Pac Expy, Austin, TX 78758-2401.
- What is Matthew Middaugh's phone number?
- The practice phone number listed in the NPPES registry for Matthew Middaugh is (512) 482-0045.
- Does Matthew Middaugh accept Medicare?
- Matthew Middaugh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Middaugh's NPI active?
- Yes — Matthew Middaugh's NPI (1528325586) is active in the NPPES registry as of the last update on 2017-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.