MATTHEW ROUGHLEY
NPI 1801497771
Physician Assistant - Surgical in Orange, CA

Q: What is Matthew Roughley's NPI number?

The NPI number for Matthew Roughley is 1801497771. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Q: What is Matthew Roughley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Roughley was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 05, 2020PECOS EnrolledAccepts Medicare Assignment

52.6/100

CMS Quality Rating

280 S MAIN ST STE 200, ORANGE, CA 92868(714) 937-2155(714) 634-4321 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Matthew Roughley NPPES

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

MATTHEW ROUGHLEY (NPI 1801497771) is an individual surgical provider in Orange, California and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fullerton, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1801497771

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMATTHEW ROUGHLEY

Location Address280 S MAIN ST STE 200Orange, CA 92868-3852

Mailing Address280 S Main St Ste 200Orange, CA 92868-3852 · (714) 937-2155 · Fax (714) 634-4321

Phone(714) 937-2155

Fax(714) 634-4321

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 5, 2020

Last NPPES UpdateSeptember 27, 2023

NPPES CertifiedSeptember 27, 2023

✔ NPI 1801497771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

280 S MAIN ST STE 200, Orange, CA 92868

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Secondary Practice Location 1

Location 12575 Yorba Linda BlvdFullerton, CA 92831-1615 · Phone (661) 300-1328

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 Roughley 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 ID1951788553

PECOS Enrollment IDI20220520001199

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 18

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.

76 services73 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

51 services29 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

42 services42 patients

Incision or removal of spine bone segment, each additional segment 22216

This procedure involves making an incision to remove a portion of the spine bone, often to alleviate pressure or pain. If more segments need to be removed, the process is repeated for each additional segment. This is done under general anesthesia.

40 services16 patients

Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, each additional segment 63082

This procedure involves removing a portion of the bone in your upper spine from the front side, to relieve pressure on your spinal cord or nerves. It may be performed on multiple spine segments, depending on your condition.

27 services11 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

26 services26 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

26 services24 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

23 services11 patients

Fusion of spine bones through front of body with partial removal of disc, each additional disc 22585

This procedure involves merging spine bones via the front of the body. A portion of each additional disc is removed to ease pressure and discomfort. This helps to stabilize the spine and improve mobility.

20 services13 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

17 services17 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

17 services17 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

15 services15 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

15 services14 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

14 services14 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.

13 services13 patients

Fusion of upper spine bones through front of neck with partial removal of disc 22554

This procedure involves fusing the upper spine bones via the front of the neck. A part of the disc is removed to ease pressure on the spinal cord and nerves. This can help reduce pain and improve mobility.

11 services11 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

11 services11 patients

Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach, single segment 63081

This procedure involves removing a portion of bone from your upper spine through an anterior (front) approach to alleviate pressure on your spinal cord or nerves. It focuses on a single segment of the spine. This can help reduce pain and improve function.

11 services11 patients

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.

52.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

38.46

Improvement Activities

Cost

54.84

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.

JOSEPH ERIC KORESSEL MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)