MATTHEW MATHOS
NPI 1285126698
Orthopaedic Surgery in York, PA
About Matthew Mathos NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW MATHOS (NPI 1285126698) is an individual orthopaedic surgery provider in York, Pennsylvania, licensed in Pennsylvania (OT018467) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
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
Matthew Mathos 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Mathos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indiana, PA 15701
- Reassigned Medicare billing, Pennsylvania enrollment
- 14 clinicians in this Medicare group
Indiana, PA 15701
- Reassigned Medicare billing, Pennsylvania enrollment
- 10 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Conemaugh Memorial Medical Center
Acute Care Hospitals · Johnstown, PAIndiana Regional Medical Center
Acute Care Hospitals · Indiana, PAPunxsutawney Area Hospital
Acute Care Hospitals · Punxsutawney, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
YORK, PA 17403
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 Mathos's NPI number?
The NPI number for Matthew Mathos is 1285126698. It was assigned to this individual provider in the NPPES registry on May 31, 2018.
Where is Matthew Mathos located?
Matthew Mathos practices at 1001 S George St, York, PA 17403. The listed phone number is (717) 812-4092.
What is Matthew Mathos's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Matthew Mathos enrolled in Medicare?
Yes. Matthew Mathos 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 organizations bill Medicare for Matthew Mathos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mathos reassigns Medicare benefits to 2 organizations: Center For Orthopaedic And Sports Medicine PC (Indiana, PA) and Ipg Ortho LLP (Indiana, PA). Each 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 Mathos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Mathos accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Matthew Mathos 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 Mathos affiliated with any hospitals?
According to CMS data, Matthew Mathos is affiliated with Conemaugh Memorial Medical Center, Indiana Regional Medical Center and Punxsutawney Area Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Mathos was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Matthew Mathos · NPI 1285126698
Orthopaedic Surgery physician in York, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 31, 2018.
## Identity
- **NPI:** 1285126698 (Entity type: Individual)
- **Enumerated:** May 31, 2018
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** OT018467 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 S GEORGE ST, York, PA 17403-3676
- **Phone:** (717) 812-4092
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Center For Orthopaedic And Sports Medicine PC (NPI 1124088372, Indiana, PA); Ipg Ortho LLP (NPI 1952128670, Indiana, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2018
## Record status
- **NPPES last updated:** June 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1285126698) · Data from the CMS NPPES public registry.