1. Home
  2. Directory
  3. Pennsylvania
  4. Sellersville
  5. Internal Medicine
  6. NPI Profile

MATTHEW CULYBA
NPI 1295053379
Internal Medicine in Sellersville, PA

Active since May 13, 2010PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
817 LAWN AVE, FALK CLINIC SUITE 700, SELLERSVILLE, PA 18960(215) 257-8450 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2021, May 11, 2016 (2 updates tracked since 2016).

About Matthew Culyba NPPES

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

MATTHEW CULYBA (NPI 1295053379) is an individual internal medicine provider in Sellersville, Pennsylvania, licensed in Pennsylvania (MD454164) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2010).

NPPES Registry Identity

NPI1295053379
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATTHEW CULYBA
Location Address817 LAWN AVE, FALK CLINIC SUITE 700Sellersville, PA 18960-1579
Mailing Address3400 Spruce St, 3 Silverstein Suite EPhiladelphia, PA 19104-4238
Phone(215) 257-8450
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2010
Enumeration DateMay 13, 2010
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
✔ NPI 1295053379 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 · MD454164
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.
817 LAWN AVE, Sellersville, PA 18960
Open in Google Maps ↗

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 Culyba 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 ID3173837952
PECOS Enrollment IDI20150807013113
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 2

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.
26 services15 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18960 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

KATHLEEN A KUCER, MDPC
Dermatology (Procedural Dermatology)
817 LAWN AVE
SELLERSVILLE, PA 18960
Bucks County (215) 257-0196
THE ENDOSCOPY CENTER LLC
Clinic/Center
817 LAWN AVE
SELLERSVILLE, PA 18960
Bucks County (215) 453-3050
LEAH G WEIDEMOYER CRNP
Nurse Practitioner (Adult Health)
817 LAWN AVE, SUITE 4
SELLERSVILLE, PA 18960
Bucks County (215) 257-8391
DR. RAFAL W SAWICKI MD
Internal Medicine (Pulmonary Disease)
817 LAWN AVE, SUITE 4
SELLERSVILLE, PA 18960
Bucks County (215) 257-8391
KATHLEEN LUKASZEWSKI DO
Internal Medicine (Gastroenterology)
817 LAWN AVE
SELLERSVILLE, PA 18960
Bucks County (215) 257-5071
DR. ABBY IRENE HUANG M.D.
Internal Medicine (Infectious Disease)
817 LAWN AVE
SELLERSVILLE, PA 18960
Bucks County (215) 257-8450
JOHN STEPHEN DOBROTA M.D.
Internal Medicine (Gastroenterology)
817 LAWN AVE
SELLERSVILLE, PA 18960
Bucks County (215) 257-5071
FRANK T KUCER MD
Internal Medicine (Gastroenterology)
817 LAWN AVE
SELLERSVILLE, PA 18960
Bucks County (215) 257-5071

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 Culyba's NPI number?

The NPI number for Matthew Culyba is 1295053379. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Where is Matthew Culyba located?

Matthew Culyba practices at 817 Lawn Ave Falk Clinic Suite 700, Sellersville, PA 18960. The listed phone number is (215) 257-8450.

What is Matthew Culyba's specialty?

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

Is Matthew Culyba enrolled in Medicare?

Yes. Matthew Culyba 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 Culyba affiliated with any hospitals?

According to CMS data, Matthew Culyba is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Matthew Culyba was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.