MATTHEW D COATES M.D., PH.D.
NPI 1053438838
Internal Medicine - Gastroenterology in Hershey, PA

Active since March 25, 2007PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
500 UNIVERSITY DR, HERSHEY, PA 17033(800) 243-1455 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew D Coates M.d., Ph.d. NPPES

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

MATTHEW D COATES M.D., PH.D. (NPI 1053438838) is an individual gastroenterology provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD448659) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of University Of Vermont College Of Medicine (2007).

NPPES Registry Identity

NPI1053438838
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMATTHEW D COATESCredential: M.D., PH.D.
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address500 University DrHershey, PA 17033-2360 · (800) 243-1455
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2007
Enumeration DateMarch 25, 2007
Last NPPES UpdateSeptember 2, 2015
NPI 1053438838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · MD448659
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
500 UNIVERSITY DR, Hershey, PA 17033

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 D Coates M.d., Ph.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 ID3577871490
PECOS Enrollment IDI20150925002138
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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
27 services27 patients
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.
26 services23 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.
19 services19 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
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.

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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.

Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033

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 Coates's NPI number?

The NPI number for Matthew Coates is 1053438838. It was assigned to this individual provider in the NPPES registry on March 25, 2007.

Where is Matthew Coates located?

Matthew Coates practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (800) 243-1455.

What is Matthew Coates's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Matthew Coates enrolled in Medicare?

Yes. Matthew Coates 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 Coates affiliated with any hospitals?

According to CMS data, Matthew Coates is affiliated with Lancaster General Hospital and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Coates was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.