Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366637555 Individual Practitioner Male Practitioner

Dr. Matthew R Misner , DO

Pediatrics • Goshen, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Misner, DO is a certified Pediatrics practicing in Goshen, IN. With approximately 22 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 2004, Dr. Misner delivers high-quality medical care to the local community at 213 MIDDLEBURY ST.

Dr. Misner is affiliated with Center For Medical Services Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

213 Middlebury St

Goshen, IN 46528

Telephone 5745343300
Fax 5745345412
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Goshen, IN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs -3.0 yrs vs City Avg
City Avg: 25.0 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Goshen, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Misner (22 Years) 22 Yrs
Goshen Specialty Average (25.0 Years) 25.0 Yrs

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 02004768A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA 20A11818

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VA 0102205035

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OK 4644

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300019274 (IN)

Hospital & Practice Group Affiliations

Center For Medical Services Llc

211 N Cedar St, Mishawaka, IN 465456923

Phone: 8887324293

Secondary Practice Locations

6913 N Main St Ste 200

Granger, IN 465308039

Phone: 5746474540

808 N 3rd St

Goshen, IN 465287100

Phone: 5745340088

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Kaitlyn Delgado , FNP-BC

Nurse Practitioner - Family

NPI 1013786227

Family Nurse Practitioner (Board Certified)

Ingrid Moser , RD

Dietitian, Registered

NPI 1093034787

Registered Dietitian

Dr. Thomas Kreider , MD

Psychiatry & Neurology - Psychiatry

NPI 1093770547

Doctor of Medicine (M.D.)

Susan Derrickson , NP-BC

Nurse Practitioner

NPI 1104691153

NPBC

Amanda Yeazel

Nurse Practitioner - Primary Care

NPI 1144115833
NPI 1205483393

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location August 26, 2019

Registered at 213 MIDDLEBURY ST, GOSHEN, IN 46528 (Tel: 5745343300)

📍
Updated Business Mailing Address August 26, 2019

Registered at 213 MIDDLEBURY ST, GOSHEN, IN 465282956 (Tel: 5745343300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2019

Pediatrics (License #20A11818 in CA)

📍
Updated Practice Location November 30, 2018

Registered at 6913 N MAIN ST STE 200, GRANGER, IN 465308039 (Tel: 5746474540)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Pediatrics (License #4644 in OK)

NPI Profile Active October 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2017

Registered at 16244 BENNETT RD, CULPEPER, VA 227014630 (Tel: 5408255381)

📍
Updated Business Mailing Address October 04, 2017

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007

👤
Provider Name / Credentials Updated October 04, 2017

Recorded as MATTHEW MISNER, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2017

Pediatrics (License #20A11818 in CA)

NPI Profile Active September 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2014

Registered at 100 S BLISS AVE, TAHLEQUAH, OK 744642512 (Tel: 9184583120)

📍
Updated Business Mailing Address September 11, 2014

Registered at 2502 LARRY AVE, TAHLEQUAH, OK 744645421 (Tel: 9189398831)

👤
Provider Name / Credentials Updated September 11, 2014

Recorded as MATTHEW MISNER, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2014

Pediatrics (License #4644 in OK)

🟢
Initial NPI Registration & Enumeration September 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366637555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2007
Last Update: August 26, 2019
Sole Proprietor: No

Mailing Address

213 Middlebury St

Goshen, IN 465282956

Phone: 5745343300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.