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MATTHEW PIHLBLAD
NPI 1790948123
Ophthalmology in Pittsburgh, PA

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
203 LOTHROP ST, 7TH FLOOR, EEINS, PITTSBURGH, PA 15213(412) 647-2214 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, Mar 27, 2017, Mar 22, 2017 (3 updates tracked since 2017).

About Matthew Pihlblad NPPES

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

MATTHEW PIHLBLAD (NPI 1790948123) is an individual ophthalmology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD456669) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of West Virginia University School Of Medicine (2008).

NPPES Registry Identity

NPI1790948123
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMATTHEW PIHLBLAD
Location Address203 LOTHROP ST, 7TH FLOOR, EEINSPittsburgh, PA 15213-2548
Mailing Address2 Hot Metal St, Quantum One, Suite 001Pittsburgh, PA 15203-2348
Phone(412) 647-2214
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2008
Enumeration DateJuly 7, 2008
Last NPPES UpdateApril 6, 20213 updates tracked since enumeration
✔ NPI 1790948123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD456669
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
203 LOTHROP ST, Pittsburgh, PA 15213
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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 Pihlblad 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 ID2264696863
PECOS Enrollment IDI20160104000820
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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
29 services25 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

ARIANA DESAI
Speech-Language Pathologist
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-6461
LINDSEY SOLES PA
Otolaryngology
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2100
RITA HERSAN
Speech-Language Pathologist
203 LOTHROP ST, 500
PITTSBURGH, PA 15213
Allegheny County (412) 647-2130
BROOKE MARSHALL BROWNING PA-C
Physician Assistant (Medical)
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2200
MARY KATE SIMPSON CCC-SLP
Speech-Language Pathologist
203 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-4524
GABRIELLE BONHOMME
Ophthalmology
203 LOTHROP ST, EEINS, 6TH, 7TH AND 8TH FLOORS
PITTSBURGH, PA 15213
Allegheny County (412) 647-2200
BRANDON T SMITH MD
Student in an Organized Health Care Education/Training Program
203 LOTHROP ST, SUITE 300
PITTSBURGH, PA 15213
Allegheny County (412) 647-2100
MR. RICK J HYRE AUD
Specialist
203 LOTHROP ST, 500 EEINS
PITTSBURGH, PA 15213
Allegheny County (412) 647-2130

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 Pihlblad's NPI number?

The NPI number for Matthew Pihlblad is 1790948123. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Matthew Pihlblad located?

Matthew Pihlblad practices at 203 Lothrop St 7th Floor, Eeins, Pittsburgh, PA 15213. The listed phone number is (412) 647-2214.

What is Matthew Pihlblad's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Matthew Pihlblad enrolled in Medicare?

Yes. Matthew Pihlblad 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 Pihlblad affiliated with any hospitals?

According to CMS data, Matthew Pihlblad is affiliated with Upmc Mercy.

When was this NPI record last updated?

The NPPES record for Matthew Pihlblad was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.