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MR. MATTHEW S. COHEN M.D.
NPI 1558304014
Internal Medicine - Gastroenterology in Philadelphia, PA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
3998 RED LION RD, SUITE 240, PHILADELPHIA, PA 19114(215) 632-3500(215) 632-5008 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Matthew S. Cohen M.d. NPPES

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

MR. MATTHEW S. COHEN M.D. (NPI 1558304014) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD426274) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2000).

NPPES Registry Identity

NPI1558304014
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMR. MATTHEW S. COHENCredential: M.D.
Location Address3998 RED LION RD, SUITE 240Philadelphia, PA 19114-1445
Mailing Address10 Presidential Blvd, Suite 124Bala Cynwyd, PA 19004-1107 · (610) 664-9700 · Fax (610) 664-6391
Phone(215) 632-3500
Fax(215) 632-5008
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2000
Enumeration DateJune 13, 2006
Last NPPES UpdateJune 16, 2015
✔ NPI 1558304014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD426274
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License MD426274 (PA)
3998 RED LION RD, Philadelphia, PA 19114
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Other Identifiers 2

Medicare UPINI56196PA
Medicaid101554525PA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Matthew S. Cohen 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 ID4284637703
PECOS Enrollment IDI20060822000496
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.

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.
214 services137 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
96 services96 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.
96 services80 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
92 services90 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
96%158 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
95%218 patients4/55-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.

AARON OPHER SHILOH M.D.
Radiology (Vascular & Interventional Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (952) 595-1100
DEBORAH SCHILLER SCHRAGER MD
Obstetrics & Gynecology
3998 RED LION RD, SUITE 106
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4143
MELISSA A. MALLOY CRNA
Nurse Anesthetist, Certified Registered
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4088
DR. MIMI H PINTO DO
Radiology (Diagnostic Radiology)
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4021
JOHN P. SORRENTINO M.D.
Emergency Medicine
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4963
JUDITH KUNKLE CRNP
Registered Nurse (Emergency)
3998 RED LION RD, EMERGENCY ROOM
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
JOAQUIN SARIEGO MD
Surgery
3998 RED LION RD, SUITE 301
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4884
FRANKFORD TORRESDALE HOSPITAL
General Acute Care Hospital
3998 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000

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 Cohen's NPI number?

The NPI number for Matthew Cohen is 1558304014. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Matthew Cohen located?

Matthew Cohen practices at 3998 Red Lion Rd Suite 240, Philadelphia, PA 19114. The listed phone number is (215) 632-3500.

What is Matthew Cohen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Matthew Cohen enrolled in Medicare?

Yes. Matthew Cohen 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.

What insurance does Matthew Cohen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Matthew Cohen 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 Cohen affiliated with any hospitals?

According to CMS data, Matthew Cohen is affiliated with Lowell General Hospital and Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Matthew Cohen was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.