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DR. EMIL L MATARESE M.D.
NPI 1083693089
Psychiatry & Neurology - Neurology in Langhorne, PA

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
680 MIDDLETOWN BLVD, SUITE 100, LANGHORNE, PA 19047(215) 741-9555(215) 741-6075 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2021, Apr 22, 2021 (2 updates tracked since 2021).

About Dr. Emil L Matarese M.d. NPPES

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

DR. EMIL L MATARESE M.D. (NPI 1083693089) is an individual neurology provider in Langhorne, Pennsylvania, licensed in Pennsylvania (MD036537-E) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Rutgers New Jersey Medical School (1982).

NPPES Registry Identity

NPI1083693089
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. EMIL L MATARESECredential: M.D.
Location Address680 MIDDLETOWN BLVD, SUITE 100Langhorne, PA 19047-1817
Mailing Address680 Middletown Blvd, Suite 100Langhorne, PA 19047-1817 · (215) 741-9555 · Fax (215) 741-6075
Phone(215) 741-9555
Fax(215) 741-6075
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1982
Enumeration DateJanuary 10, 2006
Last NPPES UpdateApril 26, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1083693089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD036537-E
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
680 MIDDLETOWN BLVD, Langhorne, PA 19047
Open in Google Maps ↗

Other Identifiers 6

Other118039000PA · Us Workers Comp
Other611728PA · Pa Blue Shield
OtherCH0208PA · Railroad Medicare
Other47300PA · Keystone Mercy Health Pla
Other0439846000PA · Independence Blue Cross
Other09159PA · Health Partners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Emil L Matarese 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 ID648267567
PECOS Enrollment IDI20040430000380, I20170313001995
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 6

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.
247 services207 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.
183 services147 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.
140 services140 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
103 services103 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.
53 services50 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
20 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
32%377 patients2/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
40%507 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
50%800 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
73%177 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
50%62 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,176 patients4/55-star benchmark: 100%
e-Prescribing
95%365 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
76%692 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%1,435 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
65%1,213 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 943 patients
Patients screened: 98% · 943 patients
39%57 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
86%515 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%507 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 710 patients
Patients totalRate: 9% · 725 patients
9%725 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

DR. OLEKSIY LELYANOV D.O.
Anesthesiology (Pain Medicine)
680 MIDDLETOWN BLVD, STE 201
LANGHORNE, PA 19047
Bucks County (267) 802-1002
DR. THOMAS EDWARD BUNIN DDS
Dentist (Prosthodontics)
680 MIDDLETOWN BLVD, SUITE 201
LANGHORNE, PA 19047
Bucks County (217) 741-9552
DR. JEROLD B WILCK DDS
Dentist (General Practice)
680 MIDDLETOWN BLVD, SUITE 201
LANGHORNE, PA 19047
Bucks County (215) 757-1574
KWH DENTAL ASSOC. P.C.
Dentist (General Practice)
680 MIDDLETOWN BLVD, SUITE 201
LANGHORNE, PA 19047
Bucks County (215) 757-1574
MR. CHRISTOPHER DAILY MSN, MSHRM
Nurse Practitioner (Gerontology)
680 MIDDLETOWN BLVD, STE 100
LANGHORNE, PA 19047
Bucks County (215) 741-9555
COMPREHENSIVE NEUROLOGIC ASSOCIATES, PC
Psychiatry & Neurology (Neurology)
680 MIDDLETOWN BLVD, SUITE 100
LANGHORNE, PA 19047
Bucks County (215) 741-9555

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 Emil Matarese's NPI number?

The NPI number for Emil Matarese is 1083693089. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Emil Matarese located?

Emil Matarese practices at 680 Middletown Blvd Suite 100, Langhorne, PA 19047. The listed phone number is (215) 741-9555.

What is Emil Matarese's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Emil Matarese enrolled in Medicare?

Yes. Emil Matarese 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 Emil Matarese accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Emil Matarese 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 Emil Matarese affiliated with any hospitals?

According to CMS data, Emil Matarese is affiliated with Capital Health Medical Center - Hopewell, Hospital Of Univ Of Pennsylvania and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Emil Matarese was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.