DR. MATTHEW ANTHONY TOFANI DO
NPI 1871122523
Family Medicine in Hermitage, PA

Active since April 05, 2020PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
449 N HERMITAGE RD, HERMITAGE, PA 16148(724) 346-3116 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 25, 2023, Jun 10, 2023, Apr 5, 2020 (3 updates tracked since 2020).

About Dr. Matthew Anthony Tofani Do NPPES

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

DR. MATTHEW ANTHONY TOFANI DO (NPI 1871122523) is an individual family medicine provider in Hermitage, Pennsylvania, licensed in Pennsylvania (OS022692) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2020).

NPPES Registry Identity

NPI1871122523
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW ANTHONY TOFANICredential: DO
Location Address449 N HERMITAGE RDHermitage, PA 16148-3342
Mailing Address3600 Forbes Avenue, Forbes Tower- Plaza Level Suite 140Pittsburgh, PA 15213
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2020
Enumeration DateApril 5, 2020
Last NPPES UpdateJuly 25, 20233 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
NPI 1871122523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS022692
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.

449 N HERMITAGE RD, Hermitage, PA 16148

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

Dr. Matthew Anthony Tofani 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 ID2264863976
PECOS Enrollment IDI20230725002280
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 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.
124 services51 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.
29 services21 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.
19 services19 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.
14 services11 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16148 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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Other Providers at the Same Location NPPES 13

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

Family Medicine
449 N HERMITAGE RD
HERMITAGE, PA 16148
Internal Medicine
449 N HERMITAGE RD
HERMITAGE, PA 16148
Family Medicine
449 N HERMITAGE RD
HERMITAGE, PA 16148
Physical Therapist
449 N HERMITAGE RD
HERMITAGE, PA 16148
Physician Assistant (Surgical)
449 N HERMITAGE RD
HERMITAGE, PA 16148
Physical Therapy Assistant
449 N HERMITAGE RD
HERMITAGE, PA 16148
Physician Assistant
449 N HERMITAGE RD
HERMITAGE, PA 16148
Physician Assistant (Surgical)
449 N HERMITAGE RD
HERMITAGE, PA 16148

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 Tofani's NPI number?

The NPI number for Matthew Tofani is 1871122523. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Matthew Tofani located?

Matthew Tofani practices at 449 N Hermitage Rd, Hermitage, PA 16148. The listed phone number is (724) 346-3116.

What is Matthew Tofani's specialty?

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

Is Matthew Tofani enrolled in Medicare?

Yes. Matthew Tofani 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.

Is Matthew Tofani affiliated with any hospitals?

According to CMS data, Matthew Tofani is affiliated with Upmc Jameson and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Matthew Tofani was last updated on July 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.