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BRETT JOSEPH MATTHEWS D.O.
NPI 1710298195
Surgery in Newburyport, MA

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
21 HIGHLAND AVE STE 3, NEWBURYPORT, MA 01950(978) 572-1149(978) 465-4069 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 8, 2022, Apr 25, 2017 (2 updates tracked since 2017).

About Brett Joseph Matthews D.o. NPPES

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

BRETT JOSEPH MATTHEWS D.O. (NPI 1710298195) is an individual surgery provider in Newburyport, Massachusetts, licensed in Massachusetts (266410) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710298195
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBRETT JOSEPH MATTHEWSCredential: D.O.
Location Address21 HIGHLAND AVE STE 3Newburyport, MA 01950-3873
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(978) 572-1149
Fax(978) 465-4069
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2010
Enumeration DateJune 30, 2010
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1710298195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MA · 266410✔ Licensed in MA · 245414✔ Licensed in HI · DOSR 293
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
21 HIGHLAND AVE STE 3, Newburyport, MA 01950
Open in Google Maps ↗

Secondary Practice Locations 2

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-0048 · Fax (774) 443-0544
Location 2600 Primrose St Ste 201Haverhill, MA 01830-2659 · Phone (978) 572-1149

Other Identifiers 1

Medicaid110115794AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Brett Joseph Matthews D.o. 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 ID6204070436
PECOS Enrollment IDI20160923001567
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
61 services34 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.
43 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services38 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.
32 services32 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.
29 services29 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.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01950 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
7%135 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%911 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%155 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%335 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
40%525 patients2/55-star benchmark: 97%
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…
24%410 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 94% · 81 patients
81%69 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%525 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%525 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%525 patients
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 4

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

GIULIA SARA LOUISSAINT MD
Surgery
21 HIGHLAND AVE STE 3
NEWBURYPORT, MA 01950
Essex County (978) 572-1149
KYLA JUNE THURLOW PA-C
Physician Assistant
21 HIGHLAND AVE STE 3
NEWBURYPORT, MA 01950
Essex County (978) 572-1149
BRYNN CARLEY PA-C
Physician Assistant
21 HIGHLAND AVE STE 3
NEWBURYPORT, MA 01950
Essex County (978) 572-1149
DR. JEFFREY P. THURLOW MD
Surgery
21 HIGHLAND AVE STE 3
NEWBURYPORT, MA 01950
Essex County (978) 572-1149

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 Brett Matthews's NPI number?

The NPI number for Brett Matthews is 1710298195. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Brett Matthews located?

Brett Matthews practices at 21 Highland Ave Ste 3, Newburyport, MA 01950. The listed phone number is (978) 572-1149.

What is Brett Matthews's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brett Matthews enrolled in Medicare?

Yes. Brett Matthews 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 Brett Matthews accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Brett Matthews 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 Brett Matthews affiliated with any hospitals?

According to CMS data, Brett Matthews is affiliated with Berkshire Medical Center.

When was this NPI record last updated?

The NPPES record for Brett Matthews was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.