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MATTHEW FRATCZAK D.O.
NPI 1518451293
Family Medicine in Lewisburg, WV

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment
89.84/100
CMS Quality Rating
296 FAIR ST, LEWISBURG, WV 24901(304) 647-4747(304) 647-4293 Get Directions Write a Review

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

About Matthew Fratczak D.o. NPPES

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

MATTHEW FRATCZAK D.O. (NPI 1518451293) is an individual family medicine provider in Lewisburg, West Virginia, licensed in West Virginia (0798) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Summersville Regional Medical Center, and maintains 11 additional practice locations.

NPPES Registry Identity

NPI1518451293
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW FRATCZAKCredential: D.O.
Location Address296 FAIR STLewisburg, WV 24901-2632
Mailing Address176 Medical Center DrRainelle, WV 25962-1064 · (304) 438-6188 · Fax (304) 438-4037
Phone(304) 647-4747
Fax(304) 647-4293
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2018
Enumeration DateJune 18, 2018
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1518451293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 0798
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.
296 FAIR ST, Lewisburg, WV 24901
Open in Google Maps ↗

Secondary Practice Locations 11

Location 12140 Jefferson St N Ste 200Lewisburg, WV 24901-7702 · Phone (681) 484-7042 · Fax (304) 520-4029
Location 2101 Railroad AveAlderson, WV 24910-7736 · Phone (304) 445-3140 · Fax (304) 445-3145
Location 3181 BOBCAT DRIVEHINTON, WV 25951 · Phone (304) 660-1155 · Fax (681) 283-2756
Location 426737 MIDLAND TRAILHICO, WV 25854 · Phone (304) 969-8080 · Fax (304) 969-8076
Location 5176 Medical Center DrRainelle, WV 25962-1064 · Phone (304) 438-6188 ext. 1002 · Fax (304) 438-4037
Location 6595 Spartan LnLewisburg, WV 24901-9438 · Phone (304) 645-1052 · Fax (304) 645-1055
Location 78971 Sewell Creek RdMeadow Bridge, WV 25976-7727 · Phone (304) 484-7755 · Fax (304) 484-6205
Location 8390 Industrial Park RdMaxwelton, WV 24957-8073 · Phone (681) 618-3610 · Fax (681) 318-3613
Location 938378 Midland Trl E Ste BCaldwell, WV 24925-2101 · Phone (304) 520-0182 · Fax (681) 283-2706
Location 10458 Greenbrier StRupert, WV 25984-1404 · Phone (304) 632-6602 · Fax (304) 915-0643
Location 11128 Community LnWhite Sulphur Springs, WV 24986-1105 · Phone (304) 956-2577 · Fax (304) 956-2581

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Matthew Fratczak D.o. 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 ID2163766353
PECOS Enrollment IDI20181128002342
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

3

Medicare enrollment records show Matthew Fratczak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rainelle Medical Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
296 FAIR ST
Lewisburg, WV 24901
NPI 1497244412 (304) 438-6188
Camden On Gauley Medical Center Inc
31 mi
Federally Qualified Health Center (FQHC)
100 LUMBERJACK LOOP STE C
Richwood, WV 26261
NPI 1700312618 (304) 846-2588
Community Health Systems Inc.
39 mi
Family Medicine
390 STANAFORD RD
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 107 clinicians in this Medicare group
NPI 1730489865 (304) 461-3320

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

Hospital Affiliations CMS Care Compare

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

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24901 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

89.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.63
Promoting Interoperability96
Improvement Activities40
Cost80.84

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%108 patients3/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.18 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

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

RAINELLE MEDICAL CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
296 FAIR ST
LEWISBURG, WV 24901
Greenbrier County (304) 438-6188

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 Fratczak's NPI number?

The NPI number for Matthew Fratczak is 1518451293. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Matthew Fratczak located?

Matthew Fratczak practices at 296 Fair St, Lewisburg, WV 24901. The listed phone number is (304) 647-4747.

What is Matthew Fratczak's specialty?

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

Is Matthew Fratczak enrolled in Medicare?

Yes. Matthew Fratczak 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 Fratczak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Fratczak reassigns Medicare benefits to 3 organizations: Rainelle Medical Center, Inc. (Lewisburg, WV), Camden On Gauley Medical Center Inc (Richwood, WV) and Community Health Systems Inc. (Beckley, WV). 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 Fratczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Fratczak accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Matthew Fratczak 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 Matthew Fratczak affiliated with any hospitals?

According to CMS data, Matthew Fratczak is affiliated with Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Fratczak was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.