MATTHEW THOMAS LAVELLE CRNP
NPI 1043678436
Clinical Nurse Specialist - Gerontology in Pittsburgh, PA

Active since February 01, 2016PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4815 LIBERTY AVE STE GR10, PITTSBURGH, PA 15224(412) 235-5874(412) 235-5877 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2024, Oct 2, 2020, Feb 1, 2016 (3 updates tracked since 2016).

About Matthew Thomas Lavelle Crnp NPPES

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

MATTHEW THOMAS LAVELLE CRNP (NPI 1043678436) is an individual gerontology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SPO15635) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043678436
Entity TypeIndividualMale
Primary Taxonomy364SG0600X
Provider Legal NameMATTHEW THOMAS LAVELLECredential: CRNP
Location Address4815 LIBERTY AVE STE GR10Pittsburgh, PA 15224-2156
Mailing Address4815 Liberty Ave Ste Gr10Pittsburgh, PA 15224-2156 · (412) 235-5874 · Fax (412) 235-5877
Fax(412) 235-5877
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 1, 2016
Last NPPES UpdateMarch 8, 20243 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
NPI 1043678436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License Licensed in PA · SPO15635
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License SPO15635 (PA)
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License SPO15635 (PA)
4815 LIBERTY AVE STE GR10, Pittsburgh, PA 15224

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 Lavelle Crnp 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 ID4486950144
PECOS Enrollment IDI20160308000102
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 3

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 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.
191 services105 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.
92 services90 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
4815 LIBERTY AVE STE GR10
PITTSBURGH, PA 15224
Internal Medicine (Geriatric Medicine)
4815 LIBERTY AVE STE GR10
PITTSBURGH, PA 15224
Pharmacist
4815 LIBERTY AVE STE GR10
PITTSBURGH, PA 15224
Nurse Practitioner
4815 LIBERTY AVE STE GR10
PITTSBURGH, PA 15224
Internal Medicine (Geriatric Medicine)
4815 LIBERTY AVE STE GR10
PITTSBURGH, PA 15224

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 Lavelle's NPI number?

The NPI number for Matthew Lavelle is 1043678436. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Matthew Lavelle located?

Matthew Lavelle practices at 4815 Liberty Ave Ste Gr10, Pittsburgh, PA 15224. The listed phone number is (412) 235-5874.

What is Matthew Lavelle's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

Is Matthew Lavelle enrolled in Medicare?

Yes. Matthew Lavelle 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 Lavelle affiliated with any hospitals?

According to CMS data, Matthew Lavelle is affiliated with Allegheny General Hospital and Grove City Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Lavelle was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.