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MATTHEW SCARLOTTA M.D.
NPI 1083145510
Internal Medicine - Hematology & Oncology in Pinehurst, NC

Active since March 26, 2017PECOS EnrolledAccepts Medicare Assignment
88.32/100
CMS Quality Rating
205 PAGE RD, PINEHURST, NC 28374(910) 295-5511(910) 715-3741 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2023, Mar 26, 2017 (2 updates tracked since 2017).

About Matthew Scarlotta M.d. NPPES

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

MATTHEW SCARLOTTA M.D. (NPI 1083145510) is an individual hematology & oncology provider in Pinehurst, North Carolina, licensed in North Carolina (2023-01077) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2017).

NPPES Registry Identity

NPI1083145510
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMATTHEW SCARLOTTACredential: M.D.
Location Address205 PAGE RDPinehurst, NC 28374-8749
Mailing Address110 High Point RdPinehurst, NC 28374-8225
Phone(910) 295-5511
Fax(910) 715-3741
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2017
Enumeration DateMarch 26, 2017
Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1083145510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NC · 2023-01077
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
205 PAGE RD, Pinehurst, NC 28374
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Scarlotta 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 ID42596140
PECOS Enrollment IDI20230920004110
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Scarlotta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinehurst Medical Clinic, Inc.
Same address
Internal Medicine
205 PAGE RD
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 150 clinicians in this Medicare group
NPI 1255388369 (910) 295-5511
Firsthealth Of The Carolinas, Inc Dba Firsthealth Weight Management Clinic
0.1 mi
Obesity Medicine
220 PAGE ROAD N, SUITE 700
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Firsthealth Of The Carolinas Inc
  • 151 clinicians in this Medicare group
NPI 1316626104 (910) 375-7344

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
170 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
140 services62 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
55 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

88.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.79
Promoting Interoperability88
Improvement Activities40
Cost86.81

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.

AMY CLONINGER FNP-BC
Nurse Practitioner (Family)
205 PAGE RD
PINEHURST, NC 28374
Moore County (910) 692-4011
HEATHER PATTERSON BLACKBURN NP-C
Nurse Practitioner
205 PAGE RD
PINEHURST, NC 28374
Moore County (910) 295-5511
FRANCIS FARRELL COLLINS JR. MD
Internal Medicine
205 PAGE RD
PINEHURST, NC 28374
Moore County (910) 295-9359
AEMONN BARNES NP
Nurse Practitioner (Acute Care)
205 PAGE RD
PINEHURST, NC 28374
Moore County (910) 295-5511
DR. SCOTT D SKIBO MD
Internal Medicine (Pulmonary Disease)
205 PAGE RD
PINEHURST, NC 28374
Moore County (102) 955-5119
DUSTY STAR GRAHAM FNP
Nurse Practitioner (Family)
205 PAGE RD
PINEHURST, NC 28374
Moore County (910) 295-5511
ELLEN L WEAVER-BAILEY PA-C
Physician Assistant
205 PAGE RD
PINEHURST, NC 28374
Moore County (910) 295-9211
MICHAEL F SOBOEIRO MD
Internal Medicine
205 PAGE RD
PINEHURST, NC 28374
Moore County (910) 295-5511

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 Scarlotta's NPI number?

The NPI number for Matthew Scarlotta is 1083145510. It was assigned to this individual provider in the NPPES registry on March 26, 2017.

Where is Matthew Scarlotta located?

Matthew Scarlotta practices at 205 Page Rd, Pinehurst, NC 28374. The listed phone number is (910) 295-5511.

What is Matthew Scarlotta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Matthew Scarlotta enrolled in Medicare?

Yes. Matthew Scarlotta 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.

Which organizations bill Medicare for Matthew Scarlotta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Scarlotta reassigns Medicare benefits to 2 organizations: Pinehurst Medical Clinic, Inc. (Pinehurst, NC) and Firsthealth Of The Carolinas, Inc Dba Firsthealth Weight Management Clinic (Pinehurst, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Scarlotta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Scarlotta accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 1 other insurer list Matthew Scarlotta 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 Scarlotta affiliated with any hospitals?

According to CMS data, Matthew Scarlotta is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Scarlotta was last updated on March 13, 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.