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MATTHEW O'DONNELL DO
NPI 1851393128
Family Medicine in Flourtown, PA

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
1811 BETHLEHEM PIKE, B 232, FLOURTOWN, PA 19031(215) 233-1500 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew O'donnell Do NPPES

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

MATTHEW O'DONNELL DO (NPI 1851393128) is an individual family medicine provider in Flourtown, Pennsylvania, licensed in Pennsylvania (OS012420) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1851393128
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW O'DONNELLCredential: DO
Location Address1811 BETHLEHEM PIKE, B 232Flourtown, PA 19031-1111
Mailing Address1811 Bethlehem Pike, B 232Flourtown, PA 19031-1111 · (215) 233-1500
Phone(215) 233-1500
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001
Enumeration DateJune 1, 2005
Last NPPES UpdateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1851393128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS012420✔ Licensed in NC · 2026-03667
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1811 BETHLEHEM PIKE, Flourtown, PA 19031
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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

Matthew O'donnell Do 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 ID5193700474
PECOS Enrollment IDI20040621001626
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 Matthew O'donnell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chestnut Hill Clinic Company, LLC
2.1 mi
Neurology
8835 GERMANTOWN AVE
Philadelphia, PA 19118
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 176 clinicians in this Medicare group
NPI 1285274969 (215) 248-8400
Temple Faculty Practice Plan, Inc
7.1 mi
Neurology
333 COTTMAN AVE
Philadelphia, PA 19111
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
NPI 1093298887 (215) 728-6900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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 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.
364 services220 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.
256 services180 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
226 services226 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
88 services88 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services49 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390026
Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County
Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19031 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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
65%486 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
70%1,035 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
38%168 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%12,231 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
81%1,388 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%381 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
24%2,465 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%2,465 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
43%2,465 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%2,465 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims43 services$5.90 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.

LORREN RUSCETTA
Counselor (Mental Health)
1811 BETHLEHEM PIKE
FLOURTOWN, PA 19031
Montgomery County (610) 813-2575
KATHERINE KEATES MAY MS, NCC, LPC
Counselor (Mental Health)
1811 BETHLEHEM PIKE, SUITES 212/213
FLOURTOWN, PA 19031
Montgomery County (610) 813-2575
MICHAEL A HIRSCH MD
Family Medicine
1811 BETHLEHEM PIKE, A108
FLOURTOWN, PA 19031
Montgomery County (215) 233-1500
MRS. ELIZABETH ADLER HARRISON CW
Social Worker (Clinical)
1811 BETHLEHEM PIKE, STE 214
FLOURTOWN, PA 19031
Montgomery County (215) 643-0200
JENNIFER PERRY LPC
Counselor
1811 BETHLEHEM PIKE, SUITE 212-213
FLOURTOWN, PA 19031
Montgomery County (215) 292-5056
DR. BENJAMIN RAILE MD
Internal Medicine (Gastroenterology)
1811 BETHLEHEM PIKE, SUITE C-300
FLOURTOWN, PA 19031
Montgomery County (215) 402-0800
KAYLIE J GILSTON
Counselor
1811 BETHLEHEM PIKE
FLOURTOWN, PA 19031
Montgomery County (215) 948-3546
ERIN JEAN MCOSKER M.ED
Behavior Analyst
1811 BETHLEHEM PIKE, BLDG B-1 SUITE 211
FLOURTOWN, PA 19031
Montgomery County (215) 836-1383

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 O'donnell's NPI number?

The NPI number for Matthew O'donnell is 1851393128. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Matthew O'donnell located?

Matthew O'donnell practices at 1811 Bethlehem Pike B 232, Flourtown, PA 19031. The listed phone number is (215) 233-1500.

What is Matthew O'donnell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew O'donnell enrolled in Medicare?

Yes. Matthew O'donnell 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 O'donnell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew O'donnell reassigns Medicare benefits to 2 organizations: Chestnut Hill Clinic Company, LLC (Philadelphia, PA) and Temple Faculty Practice Plan, Inc (Philadelphia, 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 Matthew O'donnell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matthew O'donnell affiliated with any hospitals?

According to CMS data, Matthew O'donnell is affiliated with Temple Health - Chestnut Hill Hospital and Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Matthew O'donnell was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.