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MATTHEW THOMAS HYSORE PA-C
NPI 1043024730
Physician Assistant - Medical in Wilkes Barre, PA

Active since February 04, 2025PECOS EnrolledAccepts Medicare Assignment
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-7399(570) 808-5942 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Thomas Hysore Pa-c NPPES

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

MATTHEW THOMAS HYSORE PA-C (NPI 1043024730) is an individual medical provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA066333) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043024730
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMATTHEW THOMAS HYSORECredential: PA-C
Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0001
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-7399 · Fax (570) 808-5942
Phone(570) 808-7399
Fax(570) 808-5942
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 4, 2025
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1043024730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA066333
1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711
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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 Thomas Hysore Pa-c 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 ID8426572736
PECOS Enrollment IDI20250408002919
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.

Hospital Affiliations CMS Care Compare

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

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

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.

DR. KEVIN P BURKHARDT
Audiologist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7923
EVA VAISHNAV DO
Internal Medicine (Cardiovascular Disease)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-6020
DR. WALTER MIECZKOWSKI III
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
SARAH EILEEN HELWIG CRNP
Nurse Practitioner
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-2338
STACY KANDRAC
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7701
VANESSA ANNE MARKLE PHARMACIST
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JEFFERSON WATERS
Student in an Organized Health Care Education/Training Program
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
DR. RICHARD M. SOMMA M.D.
Psychiatry & Neurology (Neurology)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 820-6028

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 Hysore's NPI number?

The NPI number for Matthew Hysore is 1043024730. It was assigned to this individual provider in the NPPES registry on February 4, 2025.

Where is Matthew Hysore located?

Matthew Hysore practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7399.

What is Matthew Hysore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Matthew Hysore enrolled in Medicare?

Yes. Matthew Hysore 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.

Is Matthew Hysore affiliated with any hospitals?

According to CMS data, Matthew Hysore is affiliated with Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Hysore was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.