DR. MATTHEW DOUGLAS MACDOUGALL MD
NPI 1811429145
Pediatrics in Philadelphia, PA
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
Specialties & Licenses
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 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.
Medicare Billing Reassignments
3Medicare enrollment records show Matthew Macdougall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 61 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 88 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 1,624 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.
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.
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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.
Which organizations bill Medicare for Matthew Macdougall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Macdougall reassigns Medicare benefits to 3 organizations: Pediatric Allergy Of Pulmonary (Rochester, NY), Pediatric Group Univ Of Rochester (Rochester, NY) and University Of Rochester (Rochester, NY). 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 Macdougall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Matthew Douglas Macdougall, MD · NPI 1811429145
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 27, 2017.
## Identity
- **NPI:** 1811429145 (Entity type: Individual)
- **Enumerated:** March 27, 2017
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD469264 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E ERIE AVE, Philadelphia, PA 19134-1011
- **Phone:** (215) 427-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pediatric Allergy Of Pulmonary (NPI 1013952688, Rochester, NY); Pediatric Group Univ Of Rochester (NPI 1083271787, Rochester, NY); University Of Rochester (NPI 1346285657, Rochester, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 2017
## Record status
- **NPPES last updated:** July 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1811429145) · Data from the CMS NPPES public registry.