ALEXANDER LEE MATZ M.D.
NPI 1861755514
Pain Medicine - Pain Medicine in Wilmington, DE

Active since June 18, 2012PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
405 SILVERSIDE ROAD, STE 104, WILMINGTON, DE 19809(844) 365-7246(844) 516-0080 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2022, Jan 7, 2022, Aug 4, 2021 and 2 more (5 updates tracked since 2017).

About Alexander Lee Matz M.d. NPPES

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

ALEXANDER LEE MATZ M.D. (NPI 1861755514) is an individual pain medicine provider in Wilmington, Delaware, licensed in Delaware (C1-0012811) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains 12 additional practice locations.

NPPES Registry Identity

NPI1861755514
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameALEXANDER LEE MATZCredential: M.D.
Location Address405 SILVERSIDE ROAD, STE 104Wilmington, DE 19809-1768
Mailing Address291 Carter Dr Ste AMiddletown, DE 19709-5845 · (844) 365-7246 · Fax (844) 516-0080
Fax(844) 516-0080
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2012
Enumeration DateJune 18, 2012
Last NPPES UpdateApril 25, 20235 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
NPI 1861755514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Licenses Licensed in DE · C1-0012811 Licensed in MD · D0083982 Licensed in PA · MD460644
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License D0083982 (MD)
Also ListedInternal MedicineTaxonomy 207R00000X · License P27690 (MD)
405 SILVERSIDE ROAD, STE 104, Wilmington, DE 19809

Secondary Practice Locations 12

Location 1100 Arrandale Blvd Ste 103Exton, PA 19341-2503 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 22701 Blair Mill Road, Ste 35Willow Grove, PA 19090-1041 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 3931 East Haverford Road, Ste 202Bryn Mawr, PA 19010-3838 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 4535 Pennsylvania Avenue, Ste 100Fort Washington, PA 19034-3305 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 5300 Welsh Road, Ste 104Horsham, PA 19044-2248 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 63105 Limestone Road, Ste 300Wilmington, DE 19808-1980 · Phone (844) 365-7246 · Fax (302) 482-2212
Location 71197 Airport Rd Ste 5, Ste 214Milford, DE 19963-6418 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 84701 Ogletown-Stanton Road, Ste 1200, Ste 214Newark, DE 19713-7000 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 9360 E Pulaski Hwy Ste 3BElkton, MD 21921-6596 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 10160 North Pointe, Ste 208Lancaster, PA 17601-4134 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 11140 Clemens Rd, Ste 104Harleysvilled, PA 19438-2010 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 121235 Penn Ave, Suite 302Wyomissing, PA 19610-2100 · Phone (844) 365-7246 · Fax (844) 516-0080

Other Identifiers 3

Medicaid103612207PA
Medicaid578018700MD
Medicaid250533585DE

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

Alexander Lee Matz M.d. 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 ID547527335
PECOS Enrollment IDI20180515001475, I20181031001440, I20181031001543
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 27

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
4,084 services463 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
1,321 services453 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.
766 services356 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.
692 services337 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
610 services42 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
394 services261 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19809 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.3
Promoting Interoperability0
Improvement Activities40
Cost95.95

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 Alexander Matz's NPI number?

The NPI number for Alexander Matz is 1861755514. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Alexander Matz located?

Alexander Matz practices at 405 Silverside Road, Ste 104, Wilmington, DE 19809. The listed phone number is (844) 365-7246.

What is Alexander Matz's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Alexander Matz enrolled in Medicare?

Yes. Alexander Matz 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 Alexander Matz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Alexander Matz 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 Alexander Matz affiliated with any hospitals?

According to CMS data, Alexander Matz is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Alexander Matz was last updated on April 25, 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.