Matthew Cohen, MD
NPI 1548241490 · Gastroenterology Physician · Derby, CT
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Cohen, MD is a Gastroenterology Physician provider in Derby, CT (NPI 1548241490).
Provider details
- NPI number
- 1548241490
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036145157 (IL)
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 tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
98 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 25 | $174 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 24 | $80 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 20 | $94 |
| Prolonged Hospital Inpatient Or Observation Care Evaluation and Management Service(s) Beyond the Total Time for the Primary Service (when the Primary Service Has Been Selected Using Time on the Date of the Primary Service); Each Additional 15 Minutes By ThG0316 | 15 | $31 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 14 | $116 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 3 Saint Elizabeth Blvd Ste 5000O Fallon, IL 62269-1282Phone: (618) 641-5803
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2024-10-03
- Certified
- 2024-10-03
Frequently asked questions
- What is Matthew Cohen's NPI number?
- Matthew Cohen's National Provider Identifier (NPI) is 1548241490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Cohen's specialty?
- Matthew Cohen is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Cohen located?
- Matthew Cohen's practice location on file with NPPES is 130 Division St, Derby, CT 06418-1326.
- What is Matthew Cohen's phone number?
- The practice phone number listed in the NPPES registry for Matthew Cohen is (203) 732-1330.
- Does Matthew Cohen accept Medicare?
- Matthew Cohen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Cohen's NPI active?
- Yes — Matthew Cohen's NPI (1548241490) is active in the NPPES registry as of the last update on 2024-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.