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MATTHEW MATHOS
NPI 1285126698
Orthopaedic Surgery in York, PA

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1001 S GEORGE ST, YORK, PA 17403(717) 812-4092 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1285126698
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMATTHEW MATHOS
Location Address1001 S GEORGE STYork, PA 17403-3676
Mailing Address1001 S George StYork, PA 17403-3676 · (717) 812-4090
Phone(717) 812-4092
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateJune 23, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1285126698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in PA · OT018467✔ Licensed in OH · 34.016400✔ Licensed in KY · 05513
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1001 S GEORGE ST, York, PA 17403
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12123 Auburn Ave Ste 630Cincinnati, OH 45219-2906 · Phone (859) 817-3599
Location 22845 Chancellor DrCrestview Hills, KY 41017-3418 · Phone (859) 817-3599
Location 32626 Alexandria PikeHighland Heights, KY 41076-1530 · Phone (859) 817-3599

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 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.

PECOS PAC ID4284986514
PECOS Enrollment IDI20241023003887
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 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.

Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
15 services14 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.
13 services11 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
12 services12 patients

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, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Chan Soon- Shiong Medical Center At Windber

Acute Care Hospitals · Windber, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390112
Location600 Somerset AvenueWindber, PA 15963 · Somerset County
Emergency services

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Physician 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.

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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

MRS. KAREN SMAY FRY CCC-SLP
Speech-Language Pathologist
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2601
MRS. ANURADHA SHARMA CRNP
Nurse Practitioner (Adult Health)
1001 S GEORGE ST, 3RD FLOOR
YORK, PA 17403
York County (717) 851-4005
DR. SAHIL JAIN M.D.
Family Medicine
1001 S GEORGE ST, YORK HOSPITAL
YORK, PA 17403
York County (717) 851-2521
ADRIENNE CHAKOT CRNA
Nurse Anesthetist, Certified Registered
1001 S GEORGE ST
YORK, PA 17403
York County (717) 812-7687
BRIAN DAVID HOLSINGER MD
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2311
NICOLE S BENZING PAC
Physician Assistant (Medical)
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2465
JACOB RUSSELL MCKENZIE MD
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2311
MUSTAFA TAHIR MD
Internal Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 741-8003

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.

What insurance does Matthew Mathos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian 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, Chan Soon- Shiong Medical Center At Windber and Indiana Regional Medical Center.

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.