Active NPI 1427232792 Individual Practitioner Male Practitioner

Matthew Henry Pielecha , PA-C

Physician Assistant • Flagstaff, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Matthew Pielecha, PA-C is a certified Physician Assistant practicing in Flagstaff, AZ. With approximately 20 years of clinical experience since completing medical education in 2006, Matthew Pielecha delivers high-quality medical care to the local community at 1515 E CEDAR AVE STE A-3.

Matthew Pielecha is affiliated with Nextcare Arizona I Jv Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1515 E Cedar Ave Ste A-3

Flagstaff, AZ 860041630

Telephone 9287742788

Fax 9287740123

Associated Practice Facility / Clinic

🏢 East Flagstaff Family Medicine Llc Facility NPI 1326098781

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Flagstaff, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +10.1 yrs vs City Avg

City Avg: 9.9 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

64 Specialists

Practicing in Flagstaff, AZ (3711 Statewide)

Telehealth Adoption Rate

29.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pielecha (20 Years) 20 Yrs

Flagstaff Specialty Average (9.9 Years) 9.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	208	188	$330.00	$74.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$335.00	$91.67
87804 Detection test by immunoassay with direct visual observation for influenza virus	112	56	$55.00	$16.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	75	73	$75.00	$40.55
81003 Automated urinalysis test	64	57	$20.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$350.00	$105.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	19	$90.00	$11.75
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	20	$50.00	$16.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$430.00	$136.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	258	224	$186.12	$74.39
87804 Detection test by immunoassay with direct visual observation for influenza virus	188	91	$55.00	$16.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	187	187	$205.91	$91.54
81003 Automated urinalysis test	88	80	$20.00	$2.20
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	59	59	$75.00	$40.55
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	50	49	$75.00	$34.62
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	43	43	$50.00	$16.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$195.00	$103.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$300.00	$137.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	13	$90.00	$11.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	284	238	$184.35	$74.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	253	253	$205.00	$92.82
87804 Detection test by immunoassay with direct visual observation for influenza virus	129	65	$55.00	$16.27
81003 Automated urinalysis test	81	69	$20.00	$2.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	73	71	$75.00	$34.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	15	$5.00	$1.12
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	34	31	$50.00	$16.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$300.00	$138.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$195.00	$106.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	24	$90.00	$11.90
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$75.00	$11.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	231	198	$171.58	$76.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$198.14	$93.86
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	127	119	$75.00	$51.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	99	$195.00	$108.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$300.00	$140.50
81003 Automated urinalysis test	77	70	$20.00	$2.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	17	$86.76	$11.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$375.00	$185.59
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$75.00	$12.32
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$50.00	$16.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	213	$195.00	$91.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	160	160	$300.00	$138.31
81003 Automated urinalysis test	65	54	$20.00	$2.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$190.00	$89.41
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	53	52	$75.00	$51.29
87804 Detection test by immunoassay with direct visual observation for influenza virus	52	24	$55.00	$16.33
J1885 Injection, ketorolac tromethamine, per 15 mg	48	13	$9.00	$0.58
99213 Established patient office or other outpatient visit, typically 15 minutes	42	41	$160.00	$62.96
36415 Insertion of needle into vein for collection of blood sample	18	18	$22.00	$2.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	16	$85.00	$11.93
94640 Inhalation treatment for airway obstruction or sputum production	16	16	$56.00	$13.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	253	$195.00	$90.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	201	201	$300.00	$137.16
81003 Automated urinalysis test	86	76	$20.00	$2.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$190.00	$89.35
J1885 Injection, ketorolac tromethamine, per 15 mg	70	20	$9.00	$0.53
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$160.00	$61.97
87804 Detection test by immunoassay with direct visual observation for influenza virus	54	27	$55.00	$15.67
94640 Inhalation treatment for airway obstruction or sputum production	46	45	$56.00	$14.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	25	$85.00	$13.90
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	25	24	$50.00	$15.61
36415 Insertion of needle into vein for collection of blood sample	16	16	$22.00	$2.94
90471 Administration of 1 vaccine	11	11	$35.00	$13.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	157	146	$72.15	$60.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	130	$120.48	$88.79
81000 Manual urinalysis test with examination using microscope, non-automated	40	38	$4.02	$3.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	20	$23.11	$16.81
36415 Insertion of needle into vein for collection of blood sample	19	19	$5.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$300.00	$135.21
82962 Blood glucose (sugar) test performed by hand-held instrument	15	14	$3.28	$3.21
83036 Hemoglobin A1C level	14	13	$11.99	$11.75
80053 Blood test, comprehensive group of blood chemicals	12	12	$13.04	$12.78

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 3792

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NV PA1368

Hospital & Practice Group Affiliations

Nextcare Arizona I Jv Llc

2530 W State Route 89a, Sedona, AZ 863365258

Phone: 9282034813

Nextcare Arizona I Jv Llc

450 S Willard St, Cottonwood, AZ 863266744

Phone: 9286342574

Nextcare Arizona I Jv Llc

2062 Willow Creek Rd, Prescott, AZ 863015389

Phone: 9284435103

Practice Associates & Co-Workers

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

7 Associated Practitioners

Allison Kavanagh

Nurse Practitioner - Family

NPI 1073260469

Sara Reeves , FNP

Nurse Practitioner - Family

NPI 1093147449

Family Nurse Practitioner

Dwight Jones , FNP-C

Nurse Practitioner - Family

NPI 1356148621

Family Nurse Practitioner (Certified)

Dr. Bradford Croft , DO

Family Medicine

NPI 1639241326

Doctor of Osteopathic Medicine (D.O.)

Brock Venman , PA-C

Physician Assistant

NPI 1659012532

Physician Assistant (Certified)

Meredith Smith , NP

Nurse Practitioner - Family

NPI 1780293258

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address July 07, 2018

Registered at 95 SOLDIERS PASS RD, STE B, SEDONA, AZ 863364781 (Tel: 9287742788)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2018

Physician Assistant (License #3792 in AZ)

✅

NPI Profile Active October 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 12, 2016

Registered at 1515 E CEDAR AVE STE A-3, FLAGSTAFF, AZ 860041630 (Tel: 9287742788)

📍

Updated Business Mailing Address October 12, 2016

Registered at 1515 E CEDAR AVE STE A-3, FLAGSTAFF, AZ 860041630 (Tel: 9287742788)

👤

Provider Name / Credentials Updated October 12, 2016

Recorded as MATTHEW PIELECHA, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2016

Physician Assistant (License #3792 in AZ)

🟢

Initial NPI Registration & Enumeration December 21, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427232792

Entity Type:

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

Enumeration Date: December 21, 2007

Last Update: July 07, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

95 Soldiers Pass Rd, Ste B

Sedona, AZ 863364781

Phone: 9287742788

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.