MATTHEW ALEXANDER SPINELLI M.D.
NPI 1386986263
Internal Medicine in San Francisco, CA

Active since March 19, 2013PECOS EnrolledAccepts Medicare Assignment
91.85/100
CMS Quality Rating
2540 23RD ST, SAN FRANCISCO, CA 94143(415) 206-8000 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2026, Mar 6, 2026 (2 updates tracked since 2026).

About Matthew Alexander Spinelli M.d. NPPES

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

MATTHEW ALEXANDER SPINELLI M.D. (NPI 1386986263) is an individual internal medicine provider in San Francisco, California, licensed in California (A134550) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Icahn School Of Medicine At Mount Sinai (2013).

NPPES Registry Identity

NPI1386986263
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATTHEW ALEXANDER SPINELLICredential: M.D.
Location Address2540 23RD STSan Francisco, CA 94143-2500
Mailing Address2540 23rd StSan Francisco, CA 94143-2500 · (628) 206-2400
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2013
Enumeration DateMarch 19, 2013
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1386986263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A134550
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License A134550 (CA)
2540 23RD ST, San Francisco, CA 94143

Secondary Practice Location 1

Location 11001 Potrero AveSan Francisco, CA 94110-3518 · Phone (628) 206-8000

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 Alexander Spinelli M.d. 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 ID1052602547
PECOS Enrollment IDI20180525001285
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

5

Medicare enrollment records show Matthew Spinelli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endocrinology, Diabetes & Metabolism
2540 23RD ST, 2ND FLOOR, ROOM 2110
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1326013442 (California), NPI 1366417933 (California)
  • 637 clinicians in this Medicare group
General Acute Care Hospital
1001 POTRERO AVE, BUILDING 5, WARD 1B
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
1600 DIVISADERO ST
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 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 94143 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability100
Improvement Activities40
Cost68.01

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2540 23RD ST, 2ND FLOOR, ROOM 2110
SAN FRANCISCO, CA 94143

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 Spinelli's NPI number?

The NPI number for Matthew Spinelli is 1386986263. It was assigned to this individual provider in the NPPES registry on March 19, 2013.

Where is Matthew Spinelli located?

Matthew Spinelli practices at 2540 23rd St, San Francisco, CA 94143. The listed phone number is (415) 206-8000.

What is Matthew Spinelli's specialty?

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

Is Matthew Spinelli enrolled in Medicare?

Yes. Matthew Spinelli 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 Spinelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Spinelli reassigns Medicare benefits to 5 organizations: University Of California Sfgh Medical Group (San Francisco, CA), City & County Of San Francisco (San Francisco, CA), Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Spinelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Spinelli was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.