Active NPI 1710061817 Individual Practitioner Male Practitioner

Dr. Mathew Ninan , MD

Surgery • Nashville, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mathew Ninan, MD is a certified Surgery practicing in Nashville, TN. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Ninan delivers high-quality medical care to the local community at 4230 HARDING PIKE.

Dr. Ninan is affiliated with West Florida Cardiology Network, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, removal of lymph nodes of chest cavity using an endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4230 Harding Pike
Suite 523

Nashville, TN 372052013

Telephone 6154671060

Fax 6154671061

Associated Practice Facility / Clinic

🏢 Saint Thomas Campus Surgicare Lp Facility NPI 1588656508

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Nashville, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +19.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

121 Specialists

Practicing in Nashville, TN (682 Statewide)

Telehealth Adoption Rate

19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ninan (41 Years) 41 Yrs

Nashville Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$452.66	$215.80
32674 Removal of lymph nodes of chest cavity using an endoscope	20	20	$834.20	$212.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$330.29	$175.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	62	62	$443.00	$216.83
32674 Removal of lymph nodes of chest cavity using an endoscope	25	24	$845.00	$221.47
31627 Computer-assisted image-guided navigation of lung airways using an endoscope	18	17	$343.00	$95.17
32669 Removal of a segment of lung tissue using an endoscope	12	11	$5182.00	$1397.60
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	12	12	$643.00	$105.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$443.00	$221.38
32674 Removal of lymph nodes of chest cavity using an endoscope	28	28	$845.00	$228.53
32666 Initial removal of wedge of lung tissue using an endoscope	12	12	$3339.00	$874.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$435.00	$197.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$443.00	$223.49
32674 Removal of lymph nodes of chest cavity using an endoscope	22	21	$845.00	$231.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$435.00	$201.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$443.00	$203.96
32674 Removal of lymph nodes of chest cavity using an endoscope	15	14	$845.00	$234.32
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$153.00	$69.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$520.01	$192.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$358.42	$135.32
31622 Diagnostic exam of lung airway using an endoscope	15	15	$670.60	$59.93
32674 Removal of lymph nodes of chest cavity using an endoscope	12	12	$876.59	$194.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	89	89	$584.46	$184.71
31622 Diagnostic exam of lung airway using an endoscope	67	62	$683.56	$65.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	26	$409.68	$132.18
32674 Removal of lymph nodes of chest cavity using an endoscope	23	23	$899.15	$194.34
32666 Initial removal of wedge of lung tissue using an endoscope	15	15	$3630.02	$729.84
32650 Adhesion of linings of lung using an endoscope	14	14	$2873.16	$354.15
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1527.26	$286.53
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$83.84	$17.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$465.33	$149.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	68	68	$584.46	$190.18
31622 Diagnostic exam of lung airway using an endoscope	44	39	$1129.53	$70.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$303.72	$97.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$465.33	$153.18
32666 Initial removal of wedge of lung tissue using an endoscope	18	18	$3630.02	$757.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$681.11	$191.91
31623 Examination of lung airways using an endoscope	12	12	$1199.41	$55.19
32674 Removal of lymph nodes of chest cavity using an endoscope	12	12	$899.15	$201.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$457.49	$129.44

Medical Specialties & State Licenses

CMS Verified: 2020-01-02

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME140763

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License FL ME140763

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License TN MD34573

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1522745 (TN)

Commercial Insurance / Payer ID Blue Cross Blue Shield

6063357 (TN)

Hospital & Practice Group Affiliations

West Florida Cardiology Network, Llc

9332 State Rd, Trinity, FL 346551810

West Florida Cardiology Network, Llc

1551 W Bay Dr, Largo, FL 337702209

West Florida Cardiology Network, Llc

6006 49th St N, Saint Petersburg, FL 337092149

West Florida Cardiology Network, Llc

6006 49th St N, St Petersburg, FL 337092149

West Florida Cardiology Network, Llc

9330 State Rd, Trinity, FL 346551808

Phone: 7278344000

Secondary Practice Locations

9332 State Road 54 Ste 405

Trinity, FL 346551810

Phone: 7275279779

4230 Harding Pike, Suite 523

Nashville, TN 372052013

Phone: 6154671060

9332 State Road 54 Ste 405

Trinity, FL 346551810

Phone: 7275279779

Practice Associates & Co-Workers

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

40 Associated Practitioners

Charles Swafford , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003168287

Certified Registered Nurse Anesthetist

Jonathan Allgood , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013042910

Certified Registered Nurse Anesthetist

Jennifer Musee , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013157767

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Grace Benton , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023525011

Certified Registered Nurse Anesthetist

Melanie Lawless , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033227764

Certified Registered Nurse Anesthetist

Nichole Clark

Social Worker

NPI 1043955644

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location January 04, 2022

Registered at 4230 HARDING PIKE, SUITE 523, NASHVILLE, TN 372052013 (Tel: 6154671060)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2022

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #ME140763 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2020

Surgery (License #ME140763 in FL)

📍

Updated Practice Location July 23, 2019

Registered at 9332 STATE ROAD 54 STE 405, TRINITY, FL 34655 (Tel: 7275279779)

📍

Updated Business Mailing Address July 23, 2019

Registered at 6006 49TH ST N STE 310, ST PETERSBURG, FL 337092149 (Tel: 7275279779)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2019

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #ME140763 in FL)

✅

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 11, 2017

Registered at 4230 HARDING PIKE, SUITE 523, NASHVILLE, TN 372052013 (Tel: 6154671060)

📍

Updated Business Mailing Address May 11, 2017

Registered at 3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 370723132 (Tel: 6158516033)

👤

Provider Name / Credentials Updated May 11, 2017

Recorded as MATHEW NINAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #MD34573 in TN)

✅

NPI Profile Active May 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 21, 2013

Registered at 4230 HARDING PIKE, SUITE 430, NASHVILLE, TN 372052013 (Tel: 6152221270)

📍

Updated Business Mailing Address May 21, 2013

Registered at 4230 HARDING PIKE, SUITE 430, NASHVILLE, TN 372052013 (Tel: 6152221270)

👤

Provider Name / Credentials Updated May 21, 2013

Recorded as MATHEW NINAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2013

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #MD34573 in TN)

🟢

Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710061817

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 25, 2006

Last Update: January 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6006 49th St N Ste 310

St Petersburg, FL 337092149

Phone: 7275279779

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.