Matthew Bumbalough, MSN, APRN, BC
NPI 1609088731 · Family Nurse Practitioner · Nashville, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Bumbalough, MSN, APRN, BC is a Family Nurse Practitioner provider in Nashville, TN (NPI 1609088731).
Provider details
- NPI number
- 1609088731
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, APRN, BC
- Sex
- Male
- Sole proprietor
- No
- License
- APN0000006738 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
364 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 227 | $77 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 60 | $52 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 54 | $75 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 23 | $109 |
Typical Medicare-allowed amounts for these services range $52–$109 (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 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 192 | 48 |
| Gabapentin | 157 | 54 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 74 | 15 |
| Levothyroxine Sodium | 57 | 24 |
| Morphine Sulfatebrand: Morphine Sulfate Er | 54 | 11 |
| Pregabalin | 31 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2022-03-21
- Certified
- 2022-03-21
Frequently asked questions
- What is Matthew Bumbalough's NPI number?
- Matthew Bumbalough's National Provider Identifier (NPI) is 1609088731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Bumbalough's specialty?
- Matthew Bumbalough is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Matthew Bumbalough located?
- Matthew Bumbalough's practice location on file with NPPES is 3601 the Vanderbilt Clinic, Nashville, TN 37232-5100.
- What is Matthew Bumbalough's phone number?
- The practice phone number listed in the NPPES registry for Matthew Bumbalough is (615) 322-3000.
- Does Matthew Bumbalough accept Medicare?
- Matthew Bumbalough is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Bumbalough's NPI active?
- Yes — Matthew Bumbalough's NPI (1609088731) is active in the NPPES registry as of the last update on 2022-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.