MATTHEW KENNY MCELWEE MD
NPI 1831578590
Internal Medicine - Rheumatology in Saint Paul, MN

Active since May 27, 2015PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
401 PHALEN BLVD, SAINT PAUL, MN 55130(651) 254-7800 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2025, Aug 16, 2024, Jul 16, 2024 and 2 more (5 updates tracked since 2021).

About Matthew Kenny Mcelwee Md NPPES

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

MATTHEW KENNY MCELWEE MD (NPI 1831578590) is an individual rheumatology provider in Saint Paul, Minnesota, licensed in Minnesota (77911) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1831578590
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMATTHEW KENNY MCELWEECredential: MD
Location Address401 PHALEN BLVDSaint Paul, MN 55130-5302
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 27, 2015
Last NPPES UpdateMarch 25, 20255 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1831578590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in MN · 77911 Licensed in NM · MD2021-0791
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

401 PHALEN BLVD, Saint Paul, MN 55130

Accepted 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 Kenny Mcelwee 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 ID2769789478
PECOS Enrollment IDI20241031000929, I20241031001098
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
58 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services18 patients
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.
21 services20 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
19 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

Nurse Practitioner
401 PHALEN BLVD, MC 41103F
SAINT PAUL, MN 55130
Internal Medicine (Geriatric Medicine)
401 PHALEN BLVD, MS 41103F
SAINT PAUL, MN 55130
Internal Medicine (Pulmonary Disease)
401 PHALEN BLVD, HEALTHPARTNERS SPECIALITY CENTER 401
ST. PAUL, MN 55130
Psychiatry & Neurology (Geriatric Psychiatry)
401 PHALEN BLVD, MS 41104C HEALTHPARTNERS SPECIALTY CENTER 401
ST. PAUL, MN 55130
Otolaryngology
401 PHALEN BLVD, HEALTHPARTNERS SPECIALITY CENTER 401
ST. PAUL, MN 55130
Dietitian, Registered
401 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Practitioner (Adult Health)
401 PHALEN BLVD, MS 41102D HEALTHPARTNERS SPECIALTY CENTER 401
ST. PAUL, MN 55130
Pharmacist (Pharmacotherapy)
401 PHALEN BLVD
SAINT PAUL, MN 55130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831578590, enumerated as an "individual" on May 27, 2015.

The provider is located at 401 PHALEN BLVD SAINT PAUL, MN 55130 and the phone number is (651) 254-7800.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners. Please consult your insurance carrier or call the provider to verify.

Matthew Mcelwee is affiliated with: LAKEVIEW MEMORIAL HOSPITAL, REGIONS HOSPITAL, AMERY HOSPITAL & CLINIC, HUDSON HOSPITAL and WESTFIELDS HOSPITAL AND CLINIC.