MATTHEW LEE TWEET MD
NPI 1003017971
Orthopaedic Surgery in Sacramento, CA


Quality Rating: 99.83 out of 100 score

NPI Status: Active since May 30, 2007

Contact Information

2725 CAPITOL AVE
SUITE 302
SACRAMENTO, CA
ZIP 95816
Phone: (916) 262-9440
Fax: (916) 262-9445

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 19
  • Orthopaedic Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MATTHEW TWEET

Matthew Tweet is a provider established in Sacramento, California and his medical specialization is Orthopaedic Surgery with more than 19 years of experience. He graduated from University Of Cincinnati College Of Medicine in 2005. The healthcare provider is registered in the NPI registry with number 1003017971 assigned on May 2007. The practitioner's primary taxonomy code is 207X00000X with license number A111016 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1003017971
Provider Name
MATTHEW LEE TWEET MD
Gender
Male
Entity Type
Individual
Location Address
2725 CAPITOL AVE SUITE 302 SACRAMENTO, CA 95816
Location Phone
(916) 262-9440
Location Fax
(916) 262-9445
Mailing Address
10470 OLD PLACERVILLE RD SUITE 100 SACRAMENTO, CA 95827
Mailing Phone
(800) 470-0071
Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
05-30-2007
Last Update Date
08-08-2014
Code Navigator

Matthew Tweet is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.83, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.56 for a new patient copayment and $19.22 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
A111016
License State
CA
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DQ274AMEDICARE PIN (08)CA 

PECOS Enrollment and Medicare Participation Status

Matthew Tweet is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981897386

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101018001125

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Prosthetic and Orthotic Devices

  • Prosthetic/Orthotic devices (D1F)

    Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf (HCPCS:L3670)

    1 DME suppliers used 66 Medicare Claims 66 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 95816 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.24
  • Minimum New Patient Price $61.52
  • Maximum New Patient Price $185.29
  • Average New Patient Copayment $23.56
  • Minimum New Patient Copayment $15.38
  • Maximum New Patient Copayment $46.32

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $76.91
  • Minimum Established Patient Price $19.52
  • Maximum Established Patient Price $151.94
  • Average Established Patient Copayment $19.22
  • Minimum Established Patient Copayment $4.88
  • Maximum Established Patient Copayment $37.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 99.83 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 99.7

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 852

    Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

  • 204

    Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Matthew Tweet is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SUTTER AMADOR HOSPITAL200 MISSION BLVD
JACKSON, CA 95642
(209) 223-7500Acute Care Hospitals
SUTTER MEDICAL CENTER, SACRAMENTO2825 CAPITOL AVENUE
SACRAMENTO, CA 95816
(916) 733-8999Acute Care Hospitals
SUTTER ROSEVILLE MEDICAL CENTERONE MEDICAL PLAZA
ROSEVILLE, CA 95661
(916) 781-1000Acute Care Hospitals
SUTTER AUBURN FAITH HOSPITAL11815 EDUCATION STREET
AUBURN, CA 95603
(530) 888-4500Acute Care Hospitals

Reviews for MATTHEW LEE TWEET MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003017971
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 9 + 1 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1003017971 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285931147 ADAM R. BORRUSO NP
Individual
Nurse Practitioner2725 CAPITOL AVE SUITE 400
SACRAMENTO, CA 95816
(916) 262-9386
1548538929RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC
Organization
Radiology (Radiation Oncology)2725 CAPITOL AVE
SACRAMENTO, CA 95816
(916) 454-6640
1295092542SUTTER MEDICAL FOUNDATION
Organization
Durable Medical Equipment & Medical Supplies2725 CAPITOL AVE
SACRAMENTO, CA 95816
(916) 262-9404
1205991353MRS. WEI LING GUO P.A.
Individual
Physician Assistant2725 CAPITOL AVE SUITE 300
SACRAMENTO, CA 95816
(916) 262-9370
1376571588 BRIAN KENNETH GOLDEN M.D.
Individual
Urology2725 CAPITOL AVE SUITE 400
SACRAMENTO, CA 95816
(916) 262-9386
1609885714 LOUIS JOHN GIORGI JR. M.D.
Individual
Urology2725 CAPITOL AVE SUITE 400
SACRAMENTO, CA 95816
(916) 262-9386
1386755601 KAREN A GILLAN AU
Individual
Audiologist2725 CAPITOL AVE #404
SACRAMENTO, CA 95816
(916) 262-9456
1568573806 JEFFREY A GRAHAM MD
Individual
Obstetrics & Gynecology2725 CAPITOL AVE #304
SACRAMENTO, CA 95816
(916) 262-9414
1316047137 LAURENDA F MOYER AUD
Individual
Audiologist2725 CAPITOL AVE #404
SACRAMENTO, CA 95816
(916) 262-9456
1558457960 ABDUL M KHALEQ MD
Individual
Internal Medicine (Gastroenterology)2725 CAPITOL AVE SUITE 300
SACRAMENTO, CA 95816
(916) 262-9370
1639145121 JONATHAN ANDREW EANDI M.D.
Individual
Urology2725 CAPITOL AVE SUITE 400
SACRAMENTO, CA 95816
(916) 262-9386
1710082284 SPENCER S LOCKSON DPM
Individual
Podiatrist2725 CAPITOL AVE SUITE 302
SACRAMENTO, CA 95816
(916) 262-9464
1609971183 ERIC T LONDON MD
Individual
Surgery2725 CAPITOL AVE SUITE 402
SACRAMENTO, CA 95816
(916) 262-9404
1013014265 GARRETT P RYLE MD
Individual
Orthopaedic Surgery2725 CAPITOL AVE SUITE 302
SACRAMENTO, CA 95816
(916) 262-9440
1609976547 THOMAS CHIN PARK MD
Individual
Surgery (Vascular Surgery)2725 CAPITOL AVE SUITE 402
SACRAMENTO, CA 95816
(916) 262-9400
1063523611 JOYCE A EAKER MD
Individual
Surgery2725 CAPITOL AVE SUITE 402
SACRAMENTO, CA 95816
(916) 262-9404
1699826255 MATTHEW WEBSTER GUILE M.D.
Individual
Obstetrics & Gynecology2725 CAPITOL AVE SUITE 304
SACRAMENTO, CA 95816
(916) 262-9414
1861493413DR. ROGER EDWARD MENDIS M.D.
Individual
Internal Medicine (Gastroenterology)2725 CAPITOL AVE SUITE 300
SACRAMENTO, CA 95816
(916) 262-9370
1922072404 ALTAF JAN M.D.
Individual
Internal Medicine (Gastroenterology)2725 CAPITOL AVE SUITE 300
SACRAMENTO, CA 95816
(916) 262-9370
1962414011 JUDITH M BLAZUN M.D.
Individual
Otolaryngology2725 CAPITOL AVE SUITE 404
SACRAMENTO, CA 95816
(916) 262-9456

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003017971, enumerated in the NPI registry as an "individual" on May 30, 2007

The provider is located at 2725 Capitol Ave Suite 302 Sacramento, Ca 95816 and the phone number is (916) 262-9440

The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X

The provider has more than 19 years of experience. He graduated from University Of Cincinnati College Of Medicine in 2005.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $94.24 with an average copayment of $23.56 for new patient appointments. Established patients should expect a typical charge of $76.91 and an average copayment of 19.22. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Injection, triamcinolone acetonide, not otherwise specified, 10 mg and Aspiration and/or injection of large joint or joint capsule.

The practitioner is affiliated to the following hospital(s): SUTTER AMADOR HOSPITAL, SUTTER MEDICAL CENTER, SACRAMENTO, SUTTER ROSEVILLE MEDICAL CENTER and SUTTER AUBURN FAITH HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.