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MATTHEW GOLDINGER CRNP
NPI 1821097171
Nurse Practitioner - Family in Butler, PA

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
480 E JEFFERSON ST, SUITE C, BUTLER, PA 16001(724) 285-3757(724) 285-8536 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Matthew Goldinger Crnp NPPES

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

MATTHEW GOLDINGER CRNP (NPI 1821097171) is an individual family provider in Butler, Pennsylvania, licensed in West Virginia (APRN52257) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1821097171
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW GOLDINGERCredential: CRNP
Location Address480 E JEFFERSON ST, SUITE CButler, PA 16001-4780
Mailing Address200 Delafield Rd, Suite 3060Pittsburgh, PA 15215-3205 · (412) 781-6448 · Fax (412) 781-1350
Phone(724) 285-3757
Fax(724) 285-8536
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1821097171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · APRN52257
Also ListedSpecialistTaxonomy 174400000X
480 E JEFFERSON ST, Butler, PA 16001
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Center DrMorgantown, WV 26506-1200 · Phone (855) 988-2273

Other Identifiers 1

OtherSP007812PA · Crnp License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Matthew Goldinger Crnp 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 ID5294923165
PECOS Enrollment IDI20181010001550
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 4

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.
260 services211 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.
105 services94 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.
40 services40 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
15 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers57 claims7,550 services$1.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MENG-G MARTIN LEE MD
Surgery
480 E JEFFERSON ST
BUTLER, PA 16001
Butler County (724) 431-4190
WILLIAM C. DICUCCIO, M.D.
Family Medicine
480 E JEFFERSON ST
BUTLER, PA 16001
Butler County (724) 282-1530
MS. SANDRA JEAN TEITELBAUM PT,CWS
Specialist
480 E JEFFERSON ST
BUTLER, PA 16001
Butler County (724) 284-4825
JOHN REEFER M.D.
Internal Medicine
480 E JEFFERSON ST, 2ND FLOOR, SUITE B
BUTLER, PA 16001
Butler County (727) 285-0870
BRIANNA DANAE POLKA FNP
Nurse Practitioner (Family)
480 E JEFFERSON ST
BUTLER, PA 16001
Butler County (724) 282-1530
MICHAEL R. TROTTA, M.D.
Pediatrics
480 E JEFFERSON ST
BUTLER, PA 16001
Butler County (724) 282-1530
DR. JESSICA MARIE BURIAK D.O.
Internal Medicine
480 E JEFFERSON ST
BUTLER, PA 16001
Butler County (724) 431-0633
KAMALESH K. SEKARAN, M.D.
Pediatrics
480 E JEFFERSON ST
BUTLER, PA 16001
Butler County (724) 282-1530

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 Goldinger's NPI number?

The NPI number for Matthew Goldinger is 1821097171. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Matthew Goldinger located?

Matthew Goldinger practices at 480 E Jefferson St Suite C, Butler, PA 16001. The listed phone number is (724) 285-3757.

What is Matthew Goldinger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Goldinger enrolled in Medicare?

Yes. Matthew Goldinger 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 Matthew Goldinger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Matthew Goldinger 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 Matthew Goldinger affiliated with any hospitals?

According to CMS data, Matthew Goldinger is affiliated with Garrett Regional Medical Center, Uniontown Hospital, West Virginia University Hospitals, Inc, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Goldinger was last updated on July 22, 2024. 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.