MATTHEW MATTY PA-C
NPI 1184181166
Physician Assistant in Southfield, MI

Q: What is Matthew Matty's NPI number?

The NPI number for Matthew Matty is 1184181166. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Q: What is Matthew Matty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Matty was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 26, 2019PECOS Enrolled

23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075(248) 569-2600 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 13, 2019, Feb 26, 2019 (2 updates tracked since 2019).

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About Matthew Matty Pa-c NPPES

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

MATTHEW MATTY PA-C (NPI 1184181166) is an individual physician assistant in Southfield, Michigan, licensed in Michigan (5601009033) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184181166

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMATTHEW MATTYCredential: PA-C

Location Address23832 SOUTHFIELD RDSouthfield, MI 48075-8000

Mailing Address2873 Greenlawn AveCommerce Township, MI 48382-3543 · (248) 686-6863

Phone(248) 569-2600

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 26, 2019

Last NPPES UpdateMarch 13, 20192 updates tracked since enumeration

✔ NPI 1184181166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601009033

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

23832 SOUTHFIELD RD, Southfield, MI 48075

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Matty Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517399637

PECOS Enrollment IDI20191112000374

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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

Other Providers at the Same Location NPPES 10

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

MR. RAFIK E MANSOUR PA

Physician Assistant (Medical)