DR. MATTHEW SKALLA MD
NPI 1619908142
Radiology - Diagnostic Radiology in Sparta, NJ

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
56.99/100
CMS Quality Rating
89 SPARTA AVE., SPARTA, NJ 07871(973) 729-0002(973) 726-4456 Get Directions Write a Review

NPPES record last updated: March 4, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Matthew Skalla Md NPPES

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

DR. MATTHEW SKALLA MD (NPI 1619908142) is an individual diagnostic radiology provider in Sparta, New Jersey, licensed in New Jersey (25MA06404100) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hackettstown Medical Center, and is a graduate of Icahn School Of Medicine At Mount Sinai (1990).

NPPES Registry Identity

NPI1619908142
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MATTHEW SKALLACredential: MD
Location Address89 SPARTA AVE.Sparta, NJ 07871-1777
Mailing Address2501 Oregon Pike, Suite 101Lancaster, PA 17601-4890 · (717) 293-3223 · Fax (717) 390-2455
Fax(973) 726-4456
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1990
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 4, 2009
✔ NPI 1619908142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NJ · 25MA06404100✔ Licensed in NJ · MA64041
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
89 SPARTA AVE., Sparta, NJ 07871

Other Identifiers 3

Medicare ID-Type Unspecified873507A3HNJ
Medicare UPING28570NJ
Medicaid6965601NJ

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 Skalla 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 ID9032195748
PECOS Enrollment IDI20050725000560
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 Reassignments

14

Medicare enrollment records show Matthew Skalla reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology
89 SPARTA AVE, SUITE 120
Sparta, NJ 07871
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Women's Diagnostic Center, PA
  • 47 clinicians in this Medicare group
Radiology
222 HIGH ST STE 101
Newton, NJ 07860
  • Reassigned Medicare billing, New Jersey enrollment
  • 54 clinicians in this Medicare group
Radiology
222 HIGH ST, SUITE 101
Newton, NJ 07860
  • Reassigned Medicare billing, New Jersey enrollment
  • 47 clinicians in this Medicare group
Radiology
161 EAST MAIN STREET
Denville, NJ 07834
  • Reassigned Medicare billing, New Jersey enrollment
  • 49 clinicians in this Medicare group
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
Magnetic Resonance Imaging (MRI)
657 WILLOW GROVE ST, SUITE 205
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
Radiology
57 ROUTE 46, SUITE 212
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 47 clinicians in this Medicare group
Radiology
95 MADISON AVE STE B02
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 41 clinicians in this Medicare group
Radiology
95 MADISON AVE STE B03
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Richard J Claps MD & Associates PA
  • 53 clinicians in this Medicare group
Radiology
61 MAIN ST
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 50 clinicians in this Medicare group

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 91

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,001 services31 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
355 services355 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
354 services354 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
274 services17 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
245 services243 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
184 services174 patients

Hospital Affiliations CMS Care Compare

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

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

56.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.03
Improvement Activities0
Cost52.86

Other Providers at the Same Location NPPES 3

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

Radiology (Diagnostic Radiology)
89 SPARTA AVE., SUITE 120
SPARTA, NJ 07871
Radiology (Diagnostic Radiology)
89 SPARTA AVE., SUITE 120
SPARTA, NJ 07871
Radiology (Diagnostic Radiology)
89 SPARTA AVE., SUITE 120
SPARTA, NJ 07871

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 Skalla's NPI number?

The NPI number for Matthew Skalla is 1619908142. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Matthew Skalla located?

Matthew Skalla practices at 89 Sparta Ave., Sparta, NJ 07871. The listed phone number is (973) 729-0002.

What is Matthew Skalla's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Matthew Skalla enrolled in Medicare?

Yes. Matthew Skalla 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 organizations bill Medicare for Matthew Skalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Skalla reassigns Medicare benefits to 14 organizations: Womens Diagnostic Center, P.A. (Sparta, NJ), Newton Imaging P.A. (Newton, NJ), Radiologic Associates Of Northern New Jersey, PA (Newton, NJ), Denville Diagnostics Imaging And Open Mri LLC (Denville, NJ), The Radiology Group Of New Jersey, LLC (Hackettstown, NJ) and 9 more organizations, listed in the Medicare section above. Each 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 Skalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matthew Skalla affiliated with any hospitals?

According to CMS data, Matthew Skalla is affiliated with Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Skalla was last updated on March 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.