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DR. MARC A MATOZZO DO
NPI 1437156098
Family Medicine in Philadelphia, PA

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
1028 W OREGON AVE, PHILADELPHIA, PA 19148(215) 389-7766(215) 389-0227 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marc A Matozzo Do NPPES

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

DR. MARC A MATOZZO DO (NPI 1437156098) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS009571L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1996).

NPPES Registry Identity

NPI1437156098
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARC A MATOZZOCredential: DO
Location Address1028 W OREGON AVEPhiladelphia, PA 19148-4421
Mailing Address1028 W Oregon AvePhiladelphia, PA 19148-4421 · (215) 389-7766 · Fax (215) 389-0227
Phone(215) 389-7766
Fax(215) 389-0227
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1996
Enumeration DateJune 28, 2005
Last NPPES UpdateJuly 15, 2021
NPPES CertifiedApril 29, 2021
✔ NPI 1437156098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS009571L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1028 W OREGON AVE, Philadelphia, PA 19148
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Other Identifiers 1

Medicaid00172908400001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Marc A Matozzo Do 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 ID2567506595
PECOS Enrollment IDI20100215000438
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 Reassignment

Medicare enrollment records show Marc Matozzo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Philadelphia Family Medicne Assoc P.C.
Same address
Family Medicine
1028 W OREGON AVE
Philadelphia, PA 19148
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Philadelphia Family Medicne Assoc PC
  • 3 clinicians in this Medicare group
NPI 1912958638 (215) 389-7766

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.
344 services236 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.
341 services169 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
213 services213 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
190 services69 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
84 services84 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
38 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19148 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers64 claims159 services$5.36 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers15 claims15 services$2.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers33 claims45 services$1.11 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$909.96 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers19 claims4,361 services$0.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$201.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MR. JOSEPH D. NORRIS PA-C
Physician Assistant (Medical)
1028 W OREGON AVE
PHILADELPHIA, PA 19148
Philadelphia County (215) 389-7766
DR. JOSEPH P DIRENZO JR. DO
Family Medicine
1028 W OREGON AVE
PHILADELPHIA, PA 19148
Philadelphia County (215) 389-7766
PHILADELPHIA FAMILY MEDICNE ASSOC P.C.
Family Medicine
1028 W OREGON AVE
PHILADELPHIA, PA 19148
Philadelphia County (215) 389-7766

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 Marc Matozzo's NPI number?

The NPI number for Marc Matozzo is 1437156098. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Marc Matozzo located?

Marc Matozzo practices at 1028 W Oregon Ave, Philadelphia, PA 19148. The listed phone number is (215) 389-7766.

What is Marc Matozzo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marc Matozzo enrolled in Medicare?

Yes. Marc Matozzo 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 organization bills Medicare for Marc Matozzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Matozzo reassigns Medicare benefits to Philadelphia Family Medicne Assoc P.C. (Philadelphia, PA). The 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 Marc Matozzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Matozzo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marc Matozzo 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.

Is Marc Matozzo affiliated with any hospitals?

According to CMS data, Marc Matozzo is affiliated with Thomas Jefferson University Hospital and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Marc Matozzo was last updated on July 15, 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.