RYAN ROYSTON MATTHEWS CRNP
NPI 1376006643
Nurse Practitioner in Cumberland, MD

Active since April 12, 2019PECOS EnrolledAccepts Medicare Assignment
92.3/100
CMS Quality Rating
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502(240) 964-7000 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2022, Apr 12, 2019 (2 updates tracked since 2019).

About Ryan Royston Matthews Crnp NPPES

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

RYAN ROYSTON MATTHEWS CRNP (NPI 1376006643) is an individual nurse practitioner in Cumberland, Maryland, licensed in Pennsylvania (SP020258) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Johnstown, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376006643
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRYAN ROYSTON MATTHEWSCredential: CRNP
Location Address12500 WILLOWBROOK RDCumberland, MD 21502-6393
Mailing AddressPo Box 1671Cumberland, MD 21501-1671 · (240) 964-8568
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 12, 2019
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1376006643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP020258
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12500 WILLOWBROOK RD, Cumberland, MD 21502

Secondary Practice Location 1

Location 116 Rose StJohnstown, PA 15905-4327 · Phone (814) 539-0257

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

Ryan Royston Matthews Crnp 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 ID6103150404
PECOS Enrollment IDI20230420000269
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Ryan Matthews reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
12500 WILLOWBROOK RD
Cumberland, MD 21502
  • Reassigned Medicare billing, Maryland enrollment
  • 318 clinicians in this Medicare group
Emergency Medicine
10455 LINCOLN HWY
Everett, PA 15537
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 80 clinicians in this Medicare group
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 291 clinicians in this Medicare group
Internal Medicine
3228 COLD SPRINGS RD
Huntingdon, PA 16652
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
Emergency Medicine
111 S FRONT ST
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 209 clinicians in this Medicare group
Surgery
740 HIGH ST, SUITE 1003
Williamsport, PA 17701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 48 clinicians in this Medicare group
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
Family Medicine
2101 JACKSON ST STE 109
Anderson, IN 46016
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 77 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

92.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Improvement Activities40
Cost100

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.

Internal Medicine
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Social Worker
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Internal Medicine
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Nurse Anesthetist, Certified Registered
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Obstetrics & Gynecology
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Nurse Anesthetist, Certified Registered
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Emergency Medicine
12500 WILLOWBROOK RD, EMERGENCY DEPARTMENT
CUMBERLAND, MD 21502
Social Worker
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502

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 Ryan Matthews's NPI number?

The NPI number for Ryan Matthews is 1376006643. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Ryan Matthews located?

Ryan Matthews practices at 12500 Willowbrook Rd, Cumberland, MD 21502. The listed phone number is (240) 964-7000.

What is Ryan Matthews's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ryan Matthews enrolled in Medicare?

Yes. Ryan Matthews 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 Ryan Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Matthews reassigns Medicare benefits to 9 organizations: Upmc Western Maryland Health Services, LLC (Cumberland, MD), Upmc Bedford Memorial (Everett, PA), Upmc Altoona (Altoona, PA), Geisinger Clinic (Huntingdon, PA), Pinnacle Health Emergency Department Services LLC (Harrisburg, PA) and 4 more organizations, listed in the Medicare section above. 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 Ryan Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Matthews accept?

Health plans from CareSource list Ryan Matthews 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.

When was this NPI record last updated?

The NPPES record for Ryan Matthews was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.