1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Psychiatry Neurology
  6. NPI Profile

MATTHEW JAMES WOODWARD MD
NPI 1114423274
Psychiatry & Neurology - Neurology in Pittsburgh, PA

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
320 E NORTH AVENUE, HEMLOCK BUILDING, PITTSBURGH, PA 15212(412) 359-8850 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2024, Jun 10, 2022 (2 updates tracked since 2022).

About Matthew James Woodward Md NPPES

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

MATTHEW JAMES WOODWARD MD (NPI 1114423274) is an individual neurology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD486117) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Drexel University College Of Medicine (2018).

NPPES Registry Identity

NPI1114423274
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMATTHEW JAMES WOODWARDCredential: MD
Location Address320 E NORTH AVENUE, HEMLOCK BUILDINGPittsburgh, PA 15212-4756
Mailing Address320 E North Avenue, Hemlock BuildingPittsburgh, PA 15212-4756 · (412) 359-8850
Phone(412) 359-8850
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2022
✔ NPI 1114423274 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 · MD486117
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.
320 E NORTH AVENUE, Pittsburgh, PA 15212
Open in Google Maps ↗

Other Identifiers 1

Other16037890Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Matthew James Woodward Md 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 ID1759629009
PECOS Enrollment IDI20240820001386
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 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.
43 services38 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.
22 services20 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.
21 services21 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.
21 services15 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.
19 services17 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

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

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390160
Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.23
Promoting Interoperability88
Improvement Activities40
Cost73.49

Other Providers at the Same Location NPPES 4

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

LAUREN EMILY CLIFFORD PA-C
Physician Assistant (Surgical)
320 E NORTH AVENUE, HEMLOCK BUILDING
PITTSBURGH, PA 15212
Allegheny County (412) 359-6200
SPURTHI SURPUR MD
Internal Medicine
320 E NORTH AVENUE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3131
DR. DAVID ALEXANDER PETROV M.D.
Radiology (Vascular & Interventional Radiology)
320 E NORTH AVENUE, 17TH FLOOR, SOUTH TOWER
PITTSBURGH, PA 15212
Allegheny County (412) 359-2459
MUHAMMAD RAYAN ALAMIRY M.D
Internal Medicine (Nephrology)
320 E NORTH AVENUE, SOUTH TOWER FOURTH FLOOR
PITTSBURGH, PA 15212
Allegheny County (412) 359-3319

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 Woodward's NPI number?

The NPI number for Matthew Woodward is 1114423274. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Matthew Woodward located?

Matthew Woodward practices at 320 E North Avenue Hemlock Building, Pittsburgh, PA 15212. The listed phone number is (412) 359-8850.

What is Matthew Woodward's specialty?

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

Is Matthew Woodward enrolled in Medicare?

Yes. Matthew Woodward 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 Matthew Woodward accept?

Health plans from Medica list Matthew Woodward 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 Woodward affiliated with any hospitals?

According to CMS data, Matthew Woodward is affiliated with Allegheny Valley Hospital, Heritage Valley Beaver, Allegheny General Hospital, West Penn Hospital and Canonsburg General Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Woodward was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.