MATELIN PAUL CROSEN M.D.
NPI 1013363043
Surgery - Surgical Critical Care in Winchester, VA

Active since May 09, 2016PECOS EnrolledAccepts Medicare Assignment
190 CAMPUS BLVD STE 310, WINCHESTER, VA 22601(540) 536-0130(540) 536-0140 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2023, Sep 7, 2022, Jul 6, 2021 and 1 more (4 updates tracked since 2016).

About Matelin Paul Crosen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATELIN PAUL CROSEN M.D. (NPI 1013363043) is an individual surgical critical care provider in Winchester, Virginia, licensed in Virginia (0101275856) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Winchester.

NPPES Registry Identity

NPI1013363043
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameMATELIN PAUL CROSENCredential: M.D.
Location Address190 CAMPUS BLVD STE 310Winchester, VA 22601-2872
Mailing Address220 Campus Blvd Ste 210Winchester, VA 22601-2889 · (540) 536-5100 · Fax (540) 536-0235
Fax(540) 536-0140
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2016
Enumeration DateMay 9, 2016
Last NPPES UpdateJuly 7, 20234 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
NPI 1013363043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in VA · 0101275856
Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

190 CAMPUS BLVD STE 310, Winchester, VA 22601

Secondary Practice Location 1

Location 11840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-6986 · Fax (540) 536-6625

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matelin Paul Crosen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870885940
PECOS Enrollment IDI20220809001047
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
150 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
107 services64 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
55 services54 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
33 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491307
Location200 Memorial DriveLuray, VA 22835 · Page County
Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Surgery
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Physician Assistant
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Nurse Practitioner (Critical Care Medicine)
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Nurse Practitioner
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Surgery
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Physician Assistant (Surgical)
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601
Surgery
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matelin Crosen's NPI number?

The NPI number for Matelin Crosen is 1013363043. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Where is Matelin Crosen located?

Matelin Crosen practices at 190 Campus Blvd Ste 310, Winchester, VA 22601. The listed phone number is (540) 536-0130.

What is Matelin Crosen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Matelin Crosen enrolled in Medicare?

Yes. Matelin Crosen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matelin Crosen accept?

Health plans from CareSource list Matelin Crosen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matelin Crosen affiliated with any hospitals?

According to CMS data, Matelin Crosen is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Page Memorial Hospital, Inc and Hampshire Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matelin Crosen was last updated on July 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.