Active NPI 1023083755 Individual Practitioner Male Practitioner

Michael Matthews

Specialist • Farrell, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Michael Matthews is a certified Specialist practicing in Farrell, PA. With approximately 41 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 1985, Michael Matthews delivers high-quality medical care to the local community at 2120 LIKENS LN.

Michael Matthews is affiliated with University Of Pittsburgh Physicians and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2120 Likens Ln
3rd Floor

Farrell, PA 161212304

Telephone 7245884370

Associated Practice Facility / Clinic

🏢 Upmc Community Medicine Inc Facility NPI 1912028846

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Farrell, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +5.5 yrs vs City Avg

City Avg: 35.5 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Farrell, PA (2255 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Matthews (41 Years) 41 Yrs

Farrell Specialty Average (35.5 Years) 35.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	172	$228.57	$118.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$356.26	$158.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	30	$310.00	$170.99
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	$450.63	$203.38
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	29	27	$43.55	$15.69
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	16	16	$77.00	$30.92

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	207	167	$222.00	$120.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$346.00	$159.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$300.00	$170.85

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	135	108	$222.00	$123.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$346.00	$162.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	72	$300.00	$171.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$340.00	$133.24
99443 Telephone medical discussion with physician, 21-30 minutes	19	17	$112.00	$112.34

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	100	92	$222.00	$127.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	66	$300.00	$171.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$343.43	$164.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	42	$340.00	$132.12
99443 Telephone medical discussion with physician, 21-30 minutes	41	40	$112.00	$112.68
95819 Measurement of brain wave activity (eeg), awake and asleep	23	23	$162.00	$57.41
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$251.00	$99.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$420.00	$219.15
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$149.00	$90.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$100.00	$37.90
95819 Measurement of brain wave activity (eeg), awake and asleep	12	12	$162.00	$57.43

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	92	83	$220.52	$105.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$336.54	$162.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	56	$293.80	$141.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$340.00	$138.44
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$145.75	$72.54
95819 Measurement of brain wave activity (eeg), awake and asleep	25	25	$162.00	$54.91
99443 Telephone medical discussion with physician, 21-30 minutes	21	21	$112.00	$108.31
99442 Telephone medical discussion with physician, 11-20 minutes	20	20	$75.00	$73.54
95819 Measurement of brain wave activity (eeg), awake and asleep	16	16	$162.00	$58.60
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$251.00	$102.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	157	132	$294.44	$138.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	83	$218.51	$103.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$329.46	$157.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	49	$340.00	$136.79
95819 Measurement of brain wave activity (eeg), awake and asleep	23	23	$162.00	$58.29
99221 Initial hospital inpatient care per day, typically 30 minutes	23	20	$251.00	$101.44
95819 Measurement of brain wave activity (eeg), awake and asleep	13	13	$162.00	$58.29
95813 Measurement of brain wave activity (eeg), 61-119 minutes	13	13	$900.00	$87.62

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	231	185	$207.76	$99.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$311.86	$158.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$340.00	$132.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	23	$100.00	$38.73
95813 Measurement of brain wave activity (eeg), 61-119 minutes	27	27	$900.00	$85.90
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$251.00	$100.16
95813 Measurement of brain wave activity (eeg), 61-119 minutes	12	12	$900.00	$85.90

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	98	93	$205.00	$102.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$315.83	$159.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$343.33	$134.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	23	$100.00	$38.53
95813 Measurement of brain wave activity (eeg), 61-119 minutes	21	21	$900.00	$85.82
99221 Initial hospital inpatient care per day, typically 30 minutes	16	15	$251.00	$99.62

Medical Specialties & State Licenses

CMS Verified: 2021-01-27

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD041872L

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

University Of Pittsburgh Physicians

109 Woodfield Drive, Greenville, PA 161251267

Phone: 7249838882

Practice Associates & Co-Workers

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

1 Associated Practitioners

Miranda Duesenberry , PA-C

Physician Assistant

NPI 1588138705

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location March 25, 2021

Registered at 2120 LIKENS LN, 3RD FLOOR, FARRELL, PA 161212304 (Tel: 7245884370)

📍

Updated Business Mailing Address March 25, 2021

Registered at 428 S MAIN ST, 3RD FLOOR, GREENVILLE, PA 161251748

👤

Provider Name / Credentials Updated March 25, 2021

Recorded as MICHAEL MATTHEWS

📍

Updated Practice Location January 27, 2021

Registered at 2120 LIKENS LANE, FARRELL, PA 16121 (Tel: 7245884370)

✅

NPI Profile Active May 10, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2010

Registered at 428 S MAIN ST, GREENVILLE, PA 161251748 (Tel: 7245884370)

📍

Updated Business Mailing Address May 10, 2010

Registered at 428 S MAIN ST, GREENVILLE, PA 161251748 (Tel: 7245884370)

👤

Provider Name / Credentials Updated May 10, 2010

Recorded as MICHAEL MATTHEWS, MD, PHD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2010

Specialist (License #MD041872L in PA)

🟢

Initial NPI Registration & Enumeration February 17, 2006

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: 1023083755

Entity Type:

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

Enumeration Date: February 17, 2006

Last Update: March 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

428 S Main St, 3rd Floor

Greenville, PA 161251748

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.