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: July 19, 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 Indiana Regional 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
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

Secondary Practice Locations 3

Location 12626 Alexandria PikeHighland Heights, KY 41076-1530 · Phone (859) 817-3599
Location 22123 Auburn Ave Ste 630Cincinnati, OH 45219-2906 · Phone (859) 817-3599
Location 32845 Chancellor DrCrestview Hills, KY 41017-3418 · Phone (859) 817-3599

Accepted 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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Knee replacement NAN06
A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
0 services68 patients
Hip replacement NAN09
A hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.
0 services29 patients
Lower limb (leg) arthroscopy (minimally invasive joint repair) NAN15
Lower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
0 services1 patient
Upper limb (arm) arthroscopy (minimally invasive joint repair) NAN17
Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.
0 services1 patient

Hospital Affiliations CMS Care Compare

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

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
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.

Pharmacist (Pharmacotherapy)
1001 S GEORGE ST
YORK, PA 17403
Radiology (Diagnostic Radiology)
1001 S GEORGE ST
YORK, PA 17403
Radiology (Diagnostic Radiology)
1001 S GEORGE ST
YORK, PA 17403
Pathology (Anatomic Pathology & Clinical Pathology)
1001 S GEORGE ST
YORK, PA 17403
Internal Medicine (Infectious Disease)
1001 S GEORGE ST, MKB 4TH FLR
YORK, PA 17403
Internal Medicine (Infectious Disease)
1001 S GEORGE ST, 4TH FLOOR KETTERMAN BUILDING
YORK, PA 17403
Anesthesiology
1001 S GEORGE ST
YORK, PA 17403
Anesthesiology
1001 S GEORGE ST
YORK, PA 17403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285126698, enumerated as an "individual" on May 31, 2018.

The provider is located at 1001 S GEORGE ST YORK, PA 17403 and the phone number is (717) 812-4092.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Matthew Mathos is affiliated with: INDIANA REGIONAL MEDICAL CENTER.