MATTHEW SMITHBAUER PA-C
NPI 1558634634
Physician Assistant in Wheeling, WV

Active since February 20, 2012PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL PARK, WHEELING HOSPITAL INC, WHEELING, WV 26003(304) 243-3124(304) 243-6343 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Smithbauer Pa-c NPPES

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

MATTHEW SMITHBAUER PA-C (NPI 1558634634) is an individual physician assistant in Wheeling, West Virginia, licensed in West Virginia (01537) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Wheeling Hospital, Inc, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1558634634
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW SMITHBAUERCredential: PA-C
Location Address1 MEDICAL PARK, WHEELING HOSPITAL INCWheeling, WV 26003-6379
Mailing Address1 Medical Park, Wheeling Hospital IncWheeling, WV 26003-6379 · (304) 243-3124 · Fax (304) 243-6343
Fax(304) 243-6343
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 20, 2012
NPI 1558634634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · 01537
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 MEDICAL PARK, Wheeling, WV 26003

Other Identifiers 1

Other01537WV · License

Accepted 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

Matthew Smithbauer Pa-c 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 ID8022274018
PECOS Enrollment IDI20120718000936
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

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.

Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Speech-Language Pathologist
1 MEDICAL PARK
WHEELING, WV 26003
Behavior Analyst
1 MEDICAL PARK
WHEELING, WV 26003
Specialist/Technologist (Athletic Trainer)
1 MEDICAL PARK
WHEELING, WV 26003
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Nurse Practitioner (Family)
1 MEDICAL PARK
WHEELING, WV 26003
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK
WHEELING, WV 26003
Radiology (Diagnostic Radiology)
1 MEDICAL PARK
WHEELING, WV 26003

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 Smithbauer's NPI number?

The NPI number for Matthew Smithbauer is 1558634634. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Where is Matthew Smithbauer located?

Matthew Smithbauer practices at 1 Medical Park Wheeling Hospital Inc, Wheeling, WV 26003. The listed phone number is (304) 243-3124.

What is Matthew Smithbauer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Smithbauer enrolled in Medicare?

Yes. Matthew Smithbauer 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 Smithbauer accept?

Health plans from CareSource list Matthew Smithbauer 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 Smithbauer affiliated with any hospitals?

According to CMS data, Matthew Smithbauer is affiliated with Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Matthew Smithbauer was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.