Matthew Lyle Nyholm, MD - Medicare Family Practice in Dayton, OH

  1. Home
  2. Family Medicine
  3. OH
  4. Dayton
Matthew Lyle Nyholm, MD is a medicare enrolled "Family Medicine" physician in Dayton, Ohio. He went to Drexel University College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Osup Community Outreach Llc, Fep Of Kentucky Llc and his current practice location is 2345 Philadelphia Dr, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 734-4141.

Matthew Lyle Nyholm is licensed to practice in Ohio (license number 35.126991) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134564743.

Contact Information

Matthew Lyle Nyholm, MD
2345 Philadelphia Dr,
Dayton, OH 45406-1816
(937) 734-4141
Not Available

Map and Direction




Physician's Profile

Full NameMatthew Lyle Nyholm
GenderMale
SpecialityFamily Practice
Experience11 Years
Location2345 Philadelphia Dr, Dayton, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew Lyle Nyholm attended and graduated from Drexel University College Of Medicine in 2013
  NPI Data:
  • NPI Number: 1134564743
  • Provider Enumeration Date: 05/09/2013
  • Last Update Date: 02/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789812173
  • Enrollment ID: I20160802000210

Medical Identifiers

Medical identifiers for Matthew Lyle Nyholm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134564743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35.126991 (Ohio)Primary
207P00000XEmergency Medicine 35.126991 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Rutan HospitalBellefontaine, OHHospital
Wayne HealthcareGreenville, OHHospital
Jennie Stuart Medical CenterHopkinsville, KYHospital
Marion General HospitalMarion, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osup Community Outreach Llc5799008082130
Fep Of Kentucky Llc812347362621

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew Lyle Nyholm allows following entities to bill medicare on his behalf.
Entity NameEmergency Professional Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864
Entity NameOsup Community Outreach Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699179929
PECOS PAC ID: 5799008082
Enrollment ID: O20141217001070
Entity NameOhio Emergency Care Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184028524
PECOS PAC ID: 1658695424
Enrollment ID: O20150127000965
Entity NameApp Of Ohio Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619418696
PECOS PAC ID: 6103102959
Enrollment ID: O20170411001544
Entity NameFep Of Ohio
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134718448
PECOS PAC ID: 2062827355
Enrollment ID: O20210218002451

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew Lyle Nyholm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Matthew Lyle Nyholm, MD
910 Watermill Place,
Marysville, OH 43040

Ph: (734) 771-3491		Matthew Lyle Nyholm, MD
2345 Philadelphia Dr,
Dayton, OH 45406-1816

Ph: (937) 734-4141

Reviews and Comments


Family Medicine Doctors in Dayton, OH

Dr. Derek Williamson Sherk, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3077 Kettering Blvd, Suite Number 319, Dayton, OH 45439
Phone: 937-293-2133    
Dr. Barbara A Bennett, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8701 Troy Pike Ste 50, Dayton, OH 45424
Phone: 937-233-4252    Fax: 937-233-7605
Jeffrey R Millard, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 30 E Apple St, Ste 6250, Dayton, OH 45409
Phone: 937-208-8394    Fax: 937-208-8388
Dr. Teresa Zryd, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 725 University Blvd, Dayton, OH 45435
Phone: 937-245-7200    Fax: 937-245-7922
Dr. Roger N Rizzardi, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Woodman Dr, Dayton, OH 45432
Phone: 937-252-2000    
Dr. Robert Randall Schaffer, M.D., FAAFP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4100 W 3rd St, Dayton, OH 45428
Phone: 937-268-6511    Fax: 513-423-3309
Theresa Kern, MS,RN, AGCNS-BC
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 324 Wilmington Ave, Dayton, OH 45420
Phone: 937-256-4490    Fax: 937-258-5478

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.