MATTHEW ETHAN MACKEN MD
NPI 1194138818
Family Medicine in Pittsburgh, PA

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
1020 CENTER AVE, PITTSBURGH, PA 15229(412) 931-3066(412) 931-2464 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2023, Mar 12, 2021 (2 updates tracked since 2021).

About Matthew Ethan Macken Md NPPES

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

MATTHEW ETHAN MACKEN MD (NPI 1194138818) is an individual family medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD461572) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194138818
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW ETHAN MACKENCredential: MD
Location Address1020 CENTER AVEPittsburgh, PA 15229-1724
Mailing Address8150 Perry Hwy Ste 201Pittsburgh, PA 15237-5200 · (412) 369-9550 · Fax (412) 369-9566
Fax(412) 931-2464
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 10, 2014
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1194138818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD461572
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1020 CENTER AVE, Pittsburgh, PA 15229

Secondary Practice Locations 2

Location 19104 Babcock Blvd Ste 3111Pittsburgh, PA 15237-5818 · Phone (412) 931-3066 · Fax (412) 931-2464
Location 25830 Meridian RdGibsonia, PA 15044-9668 · Phone (412) 931-3066 · Fax (412) 931-2464

Other Identifiers 2

Medicaid103333837-0001PA
Medicaid103333837-0002PA

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 Ethan Macken 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 ID6709176399
PECOS Enrollment IDI20170731002529
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 29

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.
854 services330 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
241 services141 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.
210 services155 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
151 services151 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
143 services143 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
140 services86 patients

Hospital Affiliations CMS Care Compare 5

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

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15229 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers25 claims60 services$5.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers19 claims22 services$1.08 avg. paid by Medicare
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing E0434
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$29.08 avg. paid by Medicare
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing E0439
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$62.15 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers11 claims13 services$12.26 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims15 services$31.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1020 CENTER AVE
PITTSBURGH, PA 15229
Nurse Practitioner (Family)
1020 CENTER AVE
PITTSBURGH, PA 15229
Registered Nurse
1020 CENTER AVE
PGH, PA 15229
Family Medicine
1020 CENTER AVE
PITTSBURGH, PA 15229
Nurse Practitioner (Family)
1020 CENTER AVE
PITTSBURGH, PA 15229
Nurse Practitioner
1020 CENTER AVE
PITTSBURGH, PA 15229
Nurse Practitioner (Family)
1020 CENTER AVE
PITTSBURGH, PA 15229
Nurse Practitioner (Family)
1020 CENTER AVE
PITTSBURGH, PA 15229

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 Macken's NPI number?

The NPI number for Matthew Macken is 1194138818. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Matthew Macken located?

Matthew Macken practices at 1020 Center Ave, Pittsburgh, PA 15229. The listed phone number is (412) 931-3066.

What is Matthew Macken's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Macken enrolled in Medicare?

Yes. Matthew Macken 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.

Is Matthew Macken affiliated with any hospitals?

According to CMS data, Matthew Macken is affiliated with Allegheny General Hospital, Upmc Passavant, Magee Womens Hospital Of Upmc Health System, Butler Memorial Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Macken was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.