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DR. MATTHEW SHANE PETRIE M.D.
NPI 1114128808
Dermatology in Mc Murray, PA

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
81.17/100
CMS Quality Rating
3055 WASHINGTON RD, SUITE 203, MC MURRAY, PA 15317(724) 260-5424(724) 260-5425 Get Directions Write a Review

NPPES record last updated: January 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2018, Sep 2, 2016, Apr 2, 2016 (3 updates tracked since 2016).

About Dr. Matthew Shane Petrie M.d. NPPES

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

DR. MATTHEW SHANE PETRIE M.D. (NPI 1114128808) is an individual dermatology provider in Mc Murray, Pennsylvania, licensed in Maryland (D72126) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2006).

NPPES Registry Identity

NPI1114128808
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. MATTHEW SHANE PETRIECredential: M.D.
Location Address3055 WASHINGTON RD, SUITE 203Mc Murray, PA 15317-3279
Mailing Address3055 Washington Rd, Suite 203Mc Murray, PA 15317-3279 · (724) 260-5424 · Fax (724) 260-5425
Phone(724) 260-5424
Fax(724) 260-5425
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2006
Enumeration DateMay 30, 2007
Last NPPES UpdateJanuary 9, 20183 updates tracked since enumeration
✔ NPI 1114128808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in MD · D72126✔ Licensed in PA · MD438908
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License MD438908 (PA), D72126 (MD)
3055 WASHINGTON RD, Mc Murray, PA 15317
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Other Identifiers 1

Medicaid102851711-0002PA

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

Dr. Matthew Shane Petrie 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 ID4880718675
PECOS Enrollment IDI20100831000689
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 Reassignment

Medicare enrollment records show Matthew Petrie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Commonwealth Dermatology, P.C.
0.1 mi
Dermatology
3055 WASHINGTON RD, SUITE 203
Mc Murray, PA 15317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Commonwealth Dermatology PC
NPI 1609239847 (724) 260-5424

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 13

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 and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
172 services146 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
131 services19 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.
100 services76 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
57 services46 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
53 services49 patients
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313
This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.
52 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15317 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

81.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.12
Improvement Activities40
Cost62.67

Other Providers at the Same Location NPPES 11

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

THE VIA CENTER, P.C.
Psychiatry & Neurology (Psychiatry)
3055 WASHINGTON RD, SUITE 101
MC MURRAY, PA 15317
Washington County (724) 260-0550
DR. VERED B. COHEN M.D.
Psychiatry & Neurology (Psychiatry)
3055 WASHINGTON RD, SUITE 101
MC MURRAY, PA 15317
Washington County (724) 260-0550
RED APPLE READING CENTER
Optometrist (Vision Therapy)
3055 WASHINGTON RD, SUITE 302
MC MURRAY, PA 15317
Washington County (724) 942-7323
DARYA FISCHBACH LONG MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3055 WASHINGTON RD
MC MURRAY, PA 15317
Washington County (724) 260-0550
MICHAEL F. HNAT DMD
Dentist
3055 WASHINGTON RD, SUITE 303
MC MURRAY, PA 15317
Washington County (724) 942-5630
COMMONWEALTH DERMATOLOGY, P.C.
Dermatology
3055 WASHINGTON RD, SUITE 203
MC MURRAY, PA 15317
Washington County (724) 260-5424
ADAM MCDIVITT MS
Counselor (Professional)
3055 WASHINGTON RD
MC MURRAY, PA 15317
Washington County (724) 260-0550
DR. MARC ALAN YESTER M.D.
Pediatrics
3055 WASHINGTON RD, SUITE 102
MC MURRAY, PA 15317
Washington County (724) 969-5025

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 Petrie's NPI number?

The NPI number for Matthew Petrie is 1114128808. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Matthew Petrie located?

Matthew Petrie practices at 3055 Washington Rd Suite 203, Mc Murray, PA 15317. The listed phone number is (724) 260-5424.

What is Matthew Petrie's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Matthew Petrie enrolled in Medicare?

Yes. Matthew Petrie 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 organization bills Medicare for Matthew Petrie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Petrie reassigns Medicare benefits to Commonwealth Dermatology, P.C. (Mc Murray, PA). The 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 Petrie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Petrie was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.