MATTHEW S HORSFIELD MD
NPI 1013998129
Family Medicine in Worcester, MA

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
5 NEPONSET ST, WORCESTER, MA 01606(508) 425-5566(508) 365-6590 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew S Horsfield Md NPPES

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

MATTHEW S HORSFIELD MD (NPI 1013998129) is an individual family medicine provider in Worcester, Massachusetts, licensed in Massachusetts (1015693) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of University Of South Florida College Of Medicine (1994).

NPPES Registry Identity

NPI1013998129
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW S HORSFIELDCredential: MD
Location Address5 NEPONSET STWorcester, MA 01606-2714
Mailing Address5 Neponset StWorcester, MA 01606-2714 · (508) 425-5566 · Fax (508) 365-6590
Fax(508) 365-6590
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1994
Enumeration DateNovember 7, 2005
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1013998129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MA · 1015693 Licensed in SC · 18082 Licensed in LA · 12242R Licensed in TX · M5232
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 NEPONSET ST, Worcester, MA 01606

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

Matthew S Horsfield Md 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 ID6305807579
PECOS Enrollment IDI20231023000820
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims52 services$5.50 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$6.73 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$43.44 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$26.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Nurse Practitioner (Family)
5 NEPONSET ST
WORCESTER, MA 01606
Optometrist
5 NEPONSET ST
WORCESTER, MA 01606
Physician Assistant
5 NEPONSET ST
WORCESTER, MA 01606
Nutritionist
5 NEPONSET ST
WORCESTER, MA 01606
Psychologist
5 NEPONSET ST
WORCESTER, MA 01606
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5 NEPONSET ST
WORCESTER, MA 01606

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 Matthew Horsfield's NPI number?

The NPI number for Matthew Horsfield is 1013998129. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Matthew Horsfield located?

Matthew Horsfield practices at 5 Neponset St, Worcester, MA 01606. The listed phone number is (508) 425-5566.

What is Matthew Horsfield's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Horsfield enrolled in Medicare?

Yes. Matthew Horsfield 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 Matthew Horsfield accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew Horsfield 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 Matthew Horsfield affiliated with any hospitals?

According to CMS data, Matthew Horsfield is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Horsfield was last updated on May 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.