MR. MATTHEW HENRY PIELECHA PA-C
NPI 1427232792
Physician Assistant in Flagstaff, AZ

Active since December 21, 2007PECOS EnrolledAccepts Medicare Assignment
1515 E CEDAR AVE STE A-3, FLAGSTAFF, AZ 86004(928) 774-2788(928) 774-0123 Get Directions Write a Review

NPPES record last updated: July 7, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 7, 2018, Oct 12, 2016 (2 updates tracked since 2016).

About Mr. Matthew Henry Pielecha Pa-c NPPES

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

MR. MATTHEW HENRY PIELECHA PA-C (NPI 1427232792) is an individual physician assistant in Flagstaff, Arizona, licensed in Arizona (3792) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1427232792
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MATTHEW HENRY PIELECHACredential: PA-C
Location Address1515 E CEDAR AVE STE A-3Flagstaff, AZ 86004-1630
Mailing Address95 Soldiers Pass Rd, Ste BSedona, AZ 86336-4781 · (928) 774-2788 · Fax (928) 774-0123
Fax(928) 774-0123
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 21, 2007
Last NPPES UpdateJuly 7, 20182 updates tracked since enumeration
NPI 1427232792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AZ · 3792 Licensed in NV · PA1368
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1515 E CEDAR AVE STE A-3, Flagstaff, AZ 86004

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

Mr. Matthew Henry Pielecha Pa-c 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 ID5395815997
PECOS Enrollment IDI20080619000559
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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
208 services188 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
164 services164 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
112 services56 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
75 services73 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
64 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004
Family Medicine
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
1515 E CEDAR AVE STE A-3
FLAGSTAFF, AZ 86004

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 Pielecha's NPI number?

The NPI number for Matthew Pielecha is 1427232792. It was assigned to this individual provider in the NPPES registry on December 21, 2007.

Where is Matthew Pielecha located?

Matthew Pielecha practices at 1515 E Cedar Ave Ste A-3, Flagstaff, AZ 86004. The listed phone number is (928) 774-2788.

What is Matthew Pielecha's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Pielecha enrolled in Medicare?

Yes. Matthew Pielecha 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.

What insurance does Matthew Pielecha accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Matthew Pielecha 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 Matthew Pielecha was last updated on July 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.