Active NPI 1952536674 Individual Practitioner Male Practitioner

Dr. Matthew K Folstein , MD

Surgery • Berlin, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Folstein, MD is a certified Surgery practicing in Berlin, MD. With approximately 17 years of clinical experience since graduating from University Of Maryland School Of Medicine in 2009, Dr. Folstein delivers high-quality medical care to the local community at 10231 OLD OCEAN CITY BLVD STE 207.

Dr. Folstein is affiliated with Saint Joseph Regional Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, 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

10231 Old Ocean City Blvd Ste 207

Berlin, MD 218113568

Telephone 4106419568

Fax 4106411006

Associated Practice Facility / Clinic

🏢 Atlantic General Hospital Corporation Facility NPI 1184442725

Medicare Profile & Education

Medical School

University Of Maryland School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Berlin, MD

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -7.3 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Berlin, MD (717 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Folstein (17 Years) 17 Yrs

Berlin Specialty Average (24.3 Years) 24.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$356.00	$154.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$298.00	$120.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$274.00	$119.02
15734 Creation of muscle graft to trunk	24	12	$3204.00	$1036.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	16	$170.00	$72.69
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1519.00	$630.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$238.00	$103.09
49505 Repair of groin hernia (5 years or older)	14	14	$1499.64	$551.22
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	12	$1012.00	$296.57
49650 Repair of groin hernia using an endoscope	12	12	$1366.50	$467.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$354.53	$154.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	17	$164.27	$74.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$234.63	$103.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$298.00	$119.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$270.56	$118.86
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	22	22	$1519.00	$629.15
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$190.21	$82.72
49505 Repair of groin hernia (5 years or older)	11	11	$1607.27	$525.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$293.34	$153.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$207.57	$117.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$298.00	$123.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	19	$158.00	$66.75
15734 Creation of muscle graft to trunk	26	12	$3204.00	$996.54
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	22	22	$1519.00	$597.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$202.60	$104.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$440.00	$185.53
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$122.00	$85.53
49650 Repair of groin hernia using an endoscope	12	12	$1214.67	$409.70
49561 Repair of trapped incisional or abdominal hernia	12	12	$1970.00	$601.75
36821 Relocation of arm vein with connection to arm artery, open procedure	11	11	$1402.00	$566.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$275.00	$155.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$298.00	$128.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	19	$158.00	$68.02
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	23	23	$1545.43	$639.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$181.00	$122.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$440.00	$189.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$179.00	$105.68
49585 Repair of hernia at navel (5 years or older)	13	13	$945.00	$255.64
49561 Repair of trapped incisional or abdominal hernia	12	12	$2002.83	$651.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$275.00	$153.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	24	$158.91	$69.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$297.24	$132.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$179.00	$101.84
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$122.00	$71.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$181.00	$103.31
49650 Repair of groin hernia using an endoscope	16	16	$1058.88	$493.86
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1562.86	$682.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$301.81	$155.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	19	$157.56	$69.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$281.70	$131.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	15	$73.33	$37.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$205.86	$103.67
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	20	20	$1787.10	$666.75
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$135.26	$70.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$191.40	$102.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$419.17	$194.36
49650 Repair of groin hernia using an endoscope	12	12	$1089.40	$396.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$320.00	$154.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	30	$71.00	$34.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$270.00	$129.39
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$140.00	$67.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$4980.00	$309.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$400.00	$194.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$210.00	$101.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$210.00	$100.64
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$66.00	$16.99
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1973.38	$654.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$285.00	$136.77
49505 Repair of groin hernia (5 years or older)	13	13	$1410.77	$476.93
49650 Repair of groin hernia using an endoscope	11	11	$1229.09	$393.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	60	$270.00	$130.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	42	$71.00	$37.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$400.00	$194.33
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	23	23	$1992.85	$666.46
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$66.00	$18.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$5042.25	$321.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$210.00	$101.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$285.00	$136.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$320.00	$154.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$210.00	$101.16

Medical Specialties & State Licenses

CMS Verified: 2026-08-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MD D0071433

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01074919A

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01074919

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201308490 (IN)

Medicaid State Provider ID

7101141530 (KY)

Hospital & Practice Group Affiliations

Saint Joseph Regional Medical Center Inc

611 E Douglas Rd, Mishawaka, IN 465451465

Phone: 5743356850

Secondary Practice Locations

9733 Healthway Dr

Berlin, MD 218111155

Phone: 4106411100

1373 E State Road 62 Ste 2c

Madison, IN 472507328

Phone: 8128010840

301 Gordon Gutmann Blvd Ste 401

Jeffersonville, IN 471303768

Phone: 8122820637

Practice Associates & Co-Workers

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

5 Associated Practitioners

Angela Simmons , CRNP

Nurse Practitioner - Family

NPI 1225363922

Certified Registered Nurse Practitioner

Dr. Alae Zarif , MD

Surgery

NPI 1366444168

Doctor of Medicine (M.D.)

Amy Gehrig , RD, LD

Dietitian, Registered

NPI 1558593814

Registered Dietitian, Licensed Dietitian

Dr. Xin Zhong , MD

Surgery

NPI 1659695237

Doctor of Medicine (M.D.)

Amanda Buckley , DHHS RD

Dietitian, Registered

NPI 1720408610

DHHSRD

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location August 05, 2026

Registered at 10231 OLD OCEAN CITY BLVD STE 207, BERLIN, MD 218113568 (Tel: 4106419568)

📍

Updated Business Mailing Address August 05, 2026

Registered at 10231 OLD OCEAN CITY BLVD STE 207, BERLIN, MD 218113568 (Tel: 4106419568)

📍

Updated Business Mailing Address August 14, 2023

Registered at 707 CEDAR ST STE 405, SOUTH BEND, IN 466172059

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2021

Surgery (License #01074919A in IN)

📍

Updated Practice Location March 04, 2021

Registered at 611 E DOUGLAS RD STE 207, MISHAWAKA, IN 465451465 (Tel: 5743356850)

📍

Updated Practice Location July 17, 2019

Registered at 611 E DOUGLAS RD STE 309, MISHAWAKA, IN 46545 (Tel: 5743356232)

📍

Updated Business Mailing Address July 17, 2019

Registered at 707 CEDAR ST STE 200, SOUTH BEND, IN 466172057 (Tel: 5743358707)

✅

NPI Profile Active August 26, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 26, 2015

Registered at 621 MEMORIAL DR, SUITE 302, SOUTH BEND, IN 466011063 (Tel: 5742361888)

📍

Updated Business Mailing Address August 26, 2015

Registered at 6301 UNIVERSITY COMMONS, SUITE 230, SOUTH BEND, IN 466351571 (Tel: 5742512100)

👤

Provider Name / Credentials Updated August 26, 2015

Recorded as MATTHEW FOLSTEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2015

Surgery (License #01074919 in IN)

🟢

Initial NPI Registration & Enumeration May 26, 2009

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: 1952536674

Entity Type:

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

Enumeration Date: May 26, 2009

Last Update: August 05, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10231 Old Ocean City Blvd Ste 207

Berlin, MD 218113568

Phone: 4106419568

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.