MATTHEW BROWN PA
NPI 1396385019
Physician Assistant - Medical in Hauppauge, NY

NPI Status: Active since January 10, 2020

Contact Information

120 PLANT AVE
HAUPPAUGE, NY
ZIP 11788
Phone: (631) 650-2510

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  • Individual
  • Male
  • Years of Experience 6
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MATTHEW BROWN

This page provides the complete NPI Profile along with additional information for Matthew Brown, a primary care provider established in Hauppauge, New York with a medical specialization in Physician Assistant, focusing in medical and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1396385019 assigned on January 2020. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1396385019
Provider Name
MATTHEW BROWN PA
Gender
Male
Entity Type
Individual
Location Address
120 PLANT AVE HAUPPAUGE, NY 11788
Location Phone
(631) 650-2510
Mailing Address
159 CARLETON AVE CENTRAL ISLIP, NY 11722
Mailing Phone
(631) 650-2510
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
01-10-2020
Last Update Date
10-27-2021
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A primary care provider (PCP) like Matthew Brown sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 883 E Main St
    Riverhead, NY 11901
    (631) 650-2510

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

Medicare Participation & PECOS Enrollment Status

Matthew Brown is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Matthew Brown is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8426464686

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210312001226

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Unknown

  • Other-Enteral and Parenteral (OB006N)

    Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)

    2 DME suppliers used 21 Medicare Claims 605 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4152)

    2 DME suppliers used 22 Medicare Claims 11343 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 57 times for 57 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Matthew Brown is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SUNY/STONY BROOK UNIVERSITY HOSPITALHEALTH SCIENCES CENTER SUNY
STONY BROOK, NY 11794
(631) 444-4000Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396385019, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 3 → 6 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 6 + 8 + 1 + 0 + 0 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1396385019.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist
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Psychologist (Clinical)
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Speech-Language Pathologist
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Physician Assistant (Medical)
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Speech-Language Pathologist
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HAUPPAUGE, NY 11788
Optometrist
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Specialist
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Registered Nurse
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Audiologist
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HAUPPAUGE, NY 11788
Psychologist (Clinical)
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Psychologist
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Social Worker (Clinical)
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HAUPPAUGE, NY 11788
Speech-Language Pathologist
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HAUPPAUGE, NY 11788
Physical Therapy Assistant
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Psychologist (Clinical)
120 PLANT AVE
HAUPPAUGE, NY 11788
Specialist
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HAUPPAUGE, NY 11788
Dentist (General Practice)
120 PLANT AVE
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Physical Therapy Assistant
120 PLANT AVE
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Nurse Practitioner
120 PLANT AVE
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396385019, enumerated as an "individual" on January 10, 2020.

The provider is located at 120 PLANT AVE HAUPPAUGE, NY 11788 and the phone number is (631) 650-2510.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Matthew Brown is affiliated with: SUNY/STONY BROOK UNIVERSITY HOSPITAL.