DON MATHEW
NPI 1225581002
Internal Medicine in Mckeesport, PA

Active since July 28, 2016PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1500 FIFTH AVE, UPMC MCKEESPORT INTERNAL MEDICINE CENTER, MCKEESPORT, PA 15132(412) 664-2782 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Don Mathew NPPES

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

DON MATHEW (NPI 1225581002) is an individual internal medicine provider in Mckeesport, Pennsylvania, licensed in Pennsylvania (MT211220) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc East, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1225581002
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDON MATHEW
Location Address1500 FIFTH AVE, UPMC MCKEESPORT INTERNAL MEDICINE CENTERMckeesport, PA 15132-2422
Mailing Address1500 Fifth Ave, Upmc Mckeesport Internal Medicine CenterMckeesport, PA 15132-2422
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 28, 2016
Last NPPES UpdateMay 24, 2021
NPI 1225581002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MT211220
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1500 FIFTH AVE, Mckeesport, PA 15132

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

Don Mathew 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 ID2567799950
PECOS Enrollment IDI20190807003270
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
194 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
91 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15132 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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Pharmacist
1500 FIFTH AVE
MCKEESPORT, PA 15132
Occupational Therapy Assistant
1500 FIFTH AVE
MCKEESPORT, PA 15132
Pharmacist
1500 FIFTH AVE
MCKEESPORT, PA 15132
Internal Medicine
1500 FIFTH AVE, KELLY BUILDING ROOM 308
MCKEESPORT, PA 15132
Occupational Therapist
1500 FIFTH AVE
MCKEESPORT, PA 15132
Physical Therapy Assistant
1500 FIFTH AVE
MCKEESPORT, PA 15132
Speech-Language Pathologist
1500 FIFTH AVE
MCKEESPORT, PA 15132
Physician Assistant (Medical)
1500 FIFTH AVE, SUITE MA42
MCKEESPORT, PA 15132

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 Don Mathew's NPI number?

The NPI number for Don Mathew is 1225581002. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Don Mathew located?

Don Mathew practices at 1500 Fifth Ave Upmc Mckeesport Internal Medicine Center, Mckeesport, PA 15132. The listed phone number is (412) 664-2782.

What is Don Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Don Mathew enrolled in Medicare?

Yes. Don Mathew 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 Don Mathew affiliated with any hospitals?

According to CMS data, Don Mathew is affiliated with Upmc East.

When was this NPI record last updated?

The NPPES record for Don Mathew was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.