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DR. MATTHEW ALEXANDER PETRILLI M.D.
NPI 1538567177
Psychiatry & Neurology - Psychiatry in South Boston, VA

Active since December 14, 2014PECOS EnrolledAccepts Medicare Assignment
73.9/100
CMS Quality Rating
504 WILBORN AVE FL 5, SOUTH BOSTON, VA 24592(434) 517-3400 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 27, 2024, Sep 27, 2021, Aug 27, 2021 and 3 more (6 updates tracked since 2019).

About Dr. Matthew Alexander Petrilli M.d. NPPES

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

DR. MATTHEW ALEXANDER PETRILLI M.D. (NPI 1538567177) is an individual psychiatry provider in South Boston, Virginia, licensed in North Carolina (2020-00301) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1538567177
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MATTHEW ALEXANDER PETRILLICredential: M.D.
Location Address504 WILBORN AVE FL 5South Boston, VA 24592-3120
Mailing Address504 Wilborn Ave Fl 5South Boston, VA 24592-3120 · (434) 517-3400
Phone(434) 517-3400
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 14, 2014
Last NPPES UpdateSeptember 27, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1538567177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NC · 2020-00301✔ Licensed in VA · 0101267115
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
504 WILBORN AVE FL 5, South Boston, VA 24592
Open in Google Maps ↗

Other Identifiers 1

Other87-204216NC · Psychiatry

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. Matthew Alexander Petrilli M.d. 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 ID749518322
PECOS Enrollment IDI20190820003468
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 Matthew Petrilli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dominion Health Medical Associates Ltd
Same address
Community/Behavioral Health
504 WILBORN AVE
South Boston, VA 24592
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Dominion Health Medical Assoc
  • 82 clinicians in this Medicare group
NPI 1215411483 (434) 517-3400

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 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
394 services119 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.
370 services111 patients
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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

73.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.64
Promoting Interoperability100
Improvement Activities0
Cost93.38

Other Providers at the Same Location NPPES

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

MR. JOSEPH D ORENSTEIN MSW, LCSW-C
Social Worker (Clinical)
504 WILBORN AVE FL 5
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3400

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 Petrilli's NPI number?

The NPI number for Matthew Petrilli is 1538567177. It was assigned to this individual provider in the NPPES registry on December 14, 2014.

Where is Matthew Petrilli located?

Matthew Petrilli practices at 504 Wilborn Ave Fl 5, South Boston, VA 24592. The listed phone number is (434) 517-3400.

What is Matthew Petrilli's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Matthew Petrilli enrolled in Medicare?

Yes. Matthew Petrilli 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 Matthew Petrilli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Petrilli reassigns Medicare benefits to Dominion Health Medical Associates Ltd (South Boston, VA). 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 Matthew Petrilli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Petrilli was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.