DR. MATTHEW DOUGLAS MACDOUGALL MD
NPI 1811429145
Pediatrics in Philadelphia, PA

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5000 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2020, Jun 27, 2017, Mar 27, 2017 (3 updates tracked since 2017).

About Dr. Matthew Douglas Macdougall Md NPPES

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

DR. MATTHEW DOUGLAS MACDOUGALL MD (NPI 1811429145) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD469264) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2017).

NPPES Registry Identity

NPI1811429145
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MATTHEW DOUGLAS MACDOUGALLCredential: MD
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing Address5827 Augsburg CirEast Syracuse, NY 13057-3050
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2017
Enumeration DateMarch 27, 2017
Last NPPES UpdateJuly 20, 20203 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
NPI 1811429145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in PA · MD469264 Licensed in PA · MT213507
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
160 E ERIE AVE, Philadelphia, PA 19134

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

Dr. Matthew Douglas Macdougall 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 ID9436574951
PECOS Enrollment IDI20240731001561
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134

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 Macdougall's NPI number?

The NPI number for Matthew Macdougall is 1811429145. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Matthew Macdougall located?

Matthew Macdougall practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.

What is Matthew Macdougall's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Macdougall enrolled in Medicare?

Yes. Matthew Macdougall 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.

When was this NPI record last updated?

The NPPES record for Matthew Macdougall was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.