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DR. MATTHEW E NEWLIN MD
NPI 1528038726
Surgery in Altoona, PA

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
73.64/100
CMS Quality Rating
1701 12TH AVE, SUITE D, ALTOONA, PA 16601(814) 943-7040(814) 943-7002 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Nov 20, 2025 (2 updates tracked since 2025).

About Dr. Matthew E Newlin Md NPPES

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

DR. MATTHEW E NEWLIN MD (NPI 1528038726) is an individual surgery provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD-424200) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1998).

NPPES Registry Identity

NPI1528038726
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MATTHEW E NEWLINCredential: MD
Location Address1701 12TH AVE, SUITE DAltoona, PA 16601-3100
Mailing Address1701 12th Ave, Suite DAltoona, PA 16601-3100 · (814) 943-7040 · Fax (814) 943-7002
Phone(814) 943-7040
Fax(814) 943-7002
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1998
Enumeration DateJanuary 23, 2006
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
✔ NPI 1528038726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD-424200
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1701 12TH AVE, Altoona, PA 16601
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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

Dr. Matthew E Newlin Md 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 ID1951398122
PECOS Enrollment IDI20040728000900
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
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.
36 services35 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.
31 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

73.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.81
Promoting Interoperability100
Improvement Activities40
Cost42.34

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
50%103 patients3/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 20

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

BLAIR COUNTY ANESTHESIA, P.C.
Anesthesiology
1701 12TH AVE, SUITE G2
ALTOONA, PA 16601
Blair County (841) 943-5901
PRIMARY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
1701 12TH AVE
ALTOONA, PA 16601
Blair County (814) 942-9600
ALLISON KEHOE MPAS, PAC
Physician Assistant
1701 12TH AVE, BUILDING A
ALTOONA, PA 16601
Blair County (814) 944-5062
LIANG R. BARTKOWIAK M.D.
Obstetrics & Gynecology
1701 12TH AVE, BUILDING A
ALTOONA, PA 16601
Blair County (814) 944-7097
ALTOONA OB/GYN ASSOCIATES, INC.
Obstetrics & Gynecology
1701 12TH AVE, BUILDING A
ALTOONA, PA 16601
Blair County (814) 944-5062
SHADAB KALIM
Internal Medicine (Geriatric Medicine)
1701 12TH AVE
ALTOONA, PA 16601
Blair County (814) 942-9600
SWATHI MALEPATI D.O.
Obstetrics & Gynecology
1701 12TH AVE
ALTOONA, PA 16601
Blair County (814) 944-7097
DR. JOHN F REINHARDT D.O.
Family Medicine
1701 12TH AVE, BLDG G-1
ALTOONA, PA 16601
Blair County (814) 942-1881

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 Newlin's NPI number?

The NPI number for Matthew Newlin is 1528038726. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Matthew Newlin located?

Matthew Newlin practices at 1701 12th Ave Suite D, Altoona, PA 16601. The listed phone number is (814) 943-7040.

What is Matthew Newlin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Newlin enrolled in Medicare?

Yes. Matthew Newlin 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.

Is Matthew Newlin affiliated with any hospitals?

According to CMS data, Matthew Newlin is affiliated with Upmc Altoona and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Matthew Newlin was last updated on December 2, 2025. 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.