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MATTHEW FREDERICK WELLES MD
NPI 1538629126
Emergency Medicine in Norfolk, VA

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
600 GRESHAM DR STE 8630, NORFOLK, VA 23507(757) 388-6115(757) 275-9998 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, May 2, 2022, Mar 21, 2019 (3 updates tracked since 2019).

About Matthew Frederick Welles Md NPPES

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

MATTHEW FREDERICK WELLES MD (NPI 1538629126) is an individual emergency medicine provider in Norfolk, Virginia, licensed in Pennsylvania (MD480271) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Florida Atlantic University, College Of Medicine (2019).

NPPES Registry Identity

NPI1538629126
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW FREDERICK WELLESCredential: MD
Location Address600 GRESHAM DR STE 8630Norfolk, VA 23507-1904
Mailing Address3600 Forbes Avenue, Forbes Tower Plaza Level Suite 140Pittsburgh, PA 15213
Phone(757) 388-6115
Fax(757) 275-9998
Sole ProprietorNo
Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1538629126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD480271
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
600 GRESHAM DR STE 8630, Norfolk, VA 23507
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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

Matthew Frederick Welles 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 ID8123355773
PECOS Enrollment IDI20240827003173
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
160 services85 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

Hospital Affiliations CMS Care Compare

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Other Providers at the Same Location NPPES 4

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

MRS. LAUREN NICOLE GILLIS ANP-BC
Nurse Practitioner (Adult Health)
600 GRESHAM DR STE 8630
NORFOLK, VA 23507
Norfolk City (757) 388-6005
DR. MATTHEW DONALD BERNENS M.D.
Internal Medicine (Pulmonary Disease)
600 GRESHAM DR STE 8630
NORFOLK, VA 23507
Norfolk City (757) 388-6115
MARIANNA GARCIA PA
Physician Assistant
600 GRESHAM DR STE 8630
NORFOLK, VA 23507
Norfolk City (757) 388-5520
MRS. MEGAN DUNN WINSLOW AGACNP-BC
Registered Nurse (Critical Care Medicine)
600 GRESHAM DR STE 8630
NORFOLK, VA 23507
Norfolk City (757) 388-6115

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 Welles's NPI number?

The NPI number for Matthew Welles is 1538629126. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Matthew Welles located?

Matthew Welles practices at 600 Gresham Dr Ste 8630, Norfolk, VA 23507. The listed phone number is (757) 388-6115.

What is Matthew Welles's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Welles enrolled in Medicare?

Yes. Matthew Welles 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 Welles affiliated with any hospitals?

According to CMS data, Matthew Welles is affiliated with Sentara Norfolk General Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Welles was last updated on July 17, 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.