Active NPI 1528325586 Individual Practitioner Male Practitioner

Dr. Matthew Richard Middaugh , MD

Internal Medicine • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Middaugh, MD is a certified Internal Medicine practicing in Austin, TX. With approximately 14 years of clinical experience since graduating from Texas A & M University System, Hsc, College Of Medicine in 2012, Dr. Middaugh delivers high-quality medical care to the local community at 12221 N MO PAC EXPY.

Dr. Middaugh is affiliated with Columbia Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12221 N Mo Pac Expy

Austin, TX 787582401

Telephone 5124820045

Fax 5124769892

Associated Practice Facility / Clinic

🏢 Austin Diagnostic Clinic, Pa Facility NPI 1487632618

Medicare Profile & Education

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Austin, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -6.8 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

620 Specialists

Practicing in Austin, TX (9538 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Middaugh (14 Years) 14 Yrs

Austin Specialty Average (20.8 Years) 20.8 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	416	176	$318.46	$80.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	255	130	$421.22	$121.91
99239 Hospital discharge day management, more than 30 minutes	147	142	$497.86	$115.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$775.30	$177.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	119	74	$474.33	$77.60
99239 Hospital discharge day management, more than 30 minutes	63	63	$726.02	$111.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	52	$1376.44	$170.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	38	$698.44	$115.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$948.00	$123.65
99238 Hospital discharge day management, 30 minutes or less	21	21	$504.00	$79.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	158	80	$386.08	$101.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	56	$350.22	$70.60
99239 Hospital discharge day management, more than 30 minutes	52	52	$519.77	$104.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$986.27	$195.25
99220 Hospital observation care, typically 70 minutes	22	22	$1196.91	$175.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$948.00	$132.99
99238 Hospital discharge day management, 30 minutes or less	20	20	$340.85	$71.64
99217 Hospital observation care on day of discharge	19	18	$462.68	$71.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	498	191	$348.50	$102.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	263	106	$240.23	$71.44
99239 Hospital discharge day management, more than 30 minutes	109	105	$359.48	$106.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$678.00	$199.08
99238 Hospital discharge day management, 30 minutes or less	20	20	$244.00	$72.22
99217 Hospital observation care on day of discharge	18	18	$244.50	$72.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	396	169	$332.07	$106.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	253	109	$229.43	$73.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	64	$857.77	$204.23
99239 Hospital discharge day management, more than 30 minutes	59	59	$342.58	$109.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$942.54	$135.70
99220 Hospital observation care, typically 70 minutes	12	12	$644.66	$186.94
99238 Hospital discharge day management, 30 minutes or less	11	11	$232.00	$74.60
99217 Hospital observation care on day of discharge	11	11	$231.00	$74.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	170	165	$1439.50	$196.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	151	146	$972.22	$132.43
99497 Advance care planning, first 30 minutes	57	57	$388.33	$77.03
99220 Hospital observation care, typically 70 minutes	54	52	$1318.91	$180.72
99219 Hospital observation care, typically 50 minutes	46	46	$964.69	$132.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	168	92	$281.36	$103.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	82	$195.50	$72.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	98	97	$865.68	$200.46
99239 Hospital discharge day management, more than 30 minutes	65	63	$297.18	$107.73
99219 Hospital observation care, typically 50 minutes	33	32	$964.69	$132.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$875.45	$133.66
99220 Hospital observation care, typically 70 minutes	13	13	$548.45	$185.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	72	$390.00	$193.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	72	45	$199.00	$99.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	64	$264.00	$127.50
99219 Hospital observation care, typically 50 minutes	51	51	$260.00	$129.96
99239 Hospital discharge day management, more than 30 minutes	21	21	$204.00	$102.07

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX Q6237

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License KY 48292

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100256240 (KY)

Hospital & Practice Group Affiliations

Columbia Memorial Hospital

71 Prospect Ave, Hudson, NY 125342907

Columbia Memorial Hospital

2827 Us Route 9, Valatie, NY 121840785

Phone: 5188287601

Secondary Practice Locations

200 Abraham Flexner Way

Louisville, KY 402021886

Phone: 5025697983

Practice Associates & Co-Workers

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

40 Associated Practitioners

Emily Beddingfield , ACNS-BC

Clinical Nurse Specialist

NPI 1003161894

ACNSBC

Dr. Grace Grant-Jennings , MD

Internal Medicine

NPI 1003816422

Doctor of Medicine (M.D.)

Dr. Maryam Saif , MD

Internal Medicine

NPI 1043246226

Doctor of Medicine (M.D.)

Samara Mcwilliams

Nurse Practitioner

NPI 1053868661

Dr. Miguel Alvarado , MD

Internal Medicine

NPI 1083058358

Doctor of Medicine (M.D.)

Dr. Zenebe Debela , MD

Internal Medicine

NPI 1093093874

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active December 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 19, 2017

Registered at 12221 N MO PAC EXPY, AUSTIN, TX 787582401 (Tel: 5124820045)

📍

Updated Business Mailing Address December 19, 2017

Registered at 7000 N MO PAC EXPY STE 42, AUSTIN, TX 787313027 (Tel: 5124820045)

👤

Provider Name / Credentials Updated December 19, 2017

Recorded as MATTHEW MIDDAUGH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2017

Internal Medicine (License #Q6237 in TX)

✅

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 02, 2016

Registered at 200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 402021886 (Tel: 5025697983)

📍

Updated Business Mailing Address November 02, 2016

Registered at 100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 402021434 (Tel: 5025697983)

👤

Provider Name / Credentials Updated November 02, 2016

Recorded as MATTHEW MIDDAUGH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Internal Medicine (License #48292 in KY)

🟢

Initial NPI Registration & Enumeration April 16, 2012

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: 1528325586

Entity Type:

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

Enumeration Date: April 16, 2012

Last Update: December 19, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7000 N Mo Pac Expy Ste 42

Austin, TX 787313027

Phone: 5124820045

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.