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COLLEEN MATHEWS MD
NPI 1831551803
Pediatrics in Pittsburgh, PA

Active since March 28, 2016PECOS Enrolled
4401 PENN AVE., PITTSBURGH, PA 15224(412) 692-5055(412) 692-7693 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 27, 2023, Jun 29, 2020, Apr 15, 2019 and 1 more (4 updates tracked since 2016).

About Colleen Mathews Md NPPES

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

COLLEEN MATHEWS MD (NPI 1831551803) is an individual pediatrics provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT220822) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831551803
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCOLLEEN MATHEWSCredential: MD
Location Address4401 PENN AVE.Pittsburgh, PA 15224-1821
Mailing Address3600 Forbes Avenue, Forbes Tower - Plaza Level Suite 140Pittsburgh, PA 15213 · (502) 629-6000 · Fax (502) 629-4617
Phone(412) 692-5055
Fax(412) 692-7693
Sole ProprietorNo
Enumeration DateMarch 28, 2016
Last NPPES UpdateFebruary 27, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1831551803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MT220822✔ Licensed in KY · 52303
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4401 PENN AVE., Pittsburgh, PA 15224
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100503190KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Mathews Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Colleen Mathews reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
Same address
Pediatrics
4401 PENN AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1225096639 (412) 692-5325
Pinnacle Health Medical Services
127 mi
Pediatric Urology
761 5TH AVE STE D
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1053097238 (717) 988-0090

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 15224 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB WES ULM
Student in an Organized Health Care Education/Training Program
4401 PENN AVE., FACULTY PAVILION BUILDING, SUITE 1200
PITTSBURGH, PA 15224
Allegheny County (412) 692-5070
DR. JACQUELINE GALE WEINBERG MD
Pediatrics (Pediatric Cardiology)
4401 PENN AVE., 5TH FLOOR FACULTY PAVILION
PITTSBURGH, PA 15224
Allegheny County (412) 692-6038
DR. KATHRYN TINSLEY ANDERSON MD, MPH, MS
Surgery
4401 PENN AVE., SUITE 700
PITTSBURGH, PA 15224
Allegheny County (412) 692-7280
MS. LEE ANTOINETTE DARVILLE MD
Pediatrics (Pediatric Infectious Diseases)
4401 PENN AVE., DIVISION OF INFECTIOUS DISEASES
PITTSBURGH, PA 15224
Allegheny County (412) 692-5930
ILANA ZINN DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
4401 PENN AVE., FACULTY PAVILION #7108
PITTSBURGH, PA 15224
Allegheny County (732) 757-8148

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 Colleen Mathews's NPI number?

The NPI number for Colleen Mathews is 1831551803. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Colleen Mathews located?

Colleen Mathews practices at 4401 Penn Ave., Pittsburgh, PA 15224. The listed phone number is (412) 692-5055.

What is Colleen Mathews's specialty?

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

Is Colleen Mathews enrolled in Medicare?

Yes. Colleen Mathews is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Colleen Mathews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Mathews reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Pinnacle Health Medical Services (Chambersburg, PA). 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 Colleen Mathews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colleen Mathews accept?

Health plans from CareSource list Colleen Mathews 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.

When was this NPI record last updated?

The NPPES record for Colleen Mathews was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.