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MICHAEL B MATELA MD
NPI 1881795490
Family Medicine in Charles Town, WV

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
912 SOMERSET BLVD STE 102, CHARLES TOWN, WV 25414(304) 725-2273 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2022, Apr 6, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Michael B Matela Md NPPES

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

MICHAEL B MATELA MD (NPI 1881795490) is an individual family medicine provider in Charles Town, West Virginia, licensed in Washington (MD60794489) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1881795490
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL B MATELACredential: MD
Location Address912 SOMERSET BLVD STE 102Charles Town, WV 25414-3954
Mailing Address16 Sterling Dr Ste 102Bridgeport, WV 26330-9133 · (681) 342-3453
Phone(304) 725-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 8, 20224 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1881795490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD60794489✔ Licensed in WV · 25248
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.
912 SOMERSET BLVD STE 102, Charles Town, WV 25414
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Secondary Practice Location 1

Location 1301 Suncrest Town Centre DrMorgantown, WV 26505-1874 · Phone (304) 599-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, PacificSource Health Plans.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

Michael B Matela 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 ID2264515568
PECOS Enrollment IDI20130820000043
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 8

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.
148 services141 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.
63 services62 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
41 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
31 services30 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25414 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$24.65 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$9.39 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 3

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

ALEXIS ALASTANOS
Nurse Practitioner
912 SOMERSET BLVD STE 102
CHARLES TOWN, WV 25414
Jefferson County (304) 725-2273
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Emergency Medicine
912 SOMERSET BLVD STE 102
CHARLES TOWN, WV 25414
Jefferson County (304) 725-2273
KALIKA MILLER PITCHER PA-C
Physician Assistant
912 SOMERSET BLVD STE 102
CHARLES TOWN, WV 25414
Jefferson County (304) 725-2273

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 Michael Matela's NPI number?

The NPI number for Michael Matela is 1881795490. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Michael Matela located?

Michael Matela practices at 912 Somerset Blvd Ste 102, Charles Town, WV 25414. The listed phone number is (304) 725-2273.

What is Michael Matela's specialty?

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

Is Michael Matela enrolled in Medicare?

Yes. Michael Matela 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 Michael Matela accept?

Health plans from CareSource and PacificSource Health Plans list Michael Matela 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 Michael Matela affiliated with any hospitals?

According to CMS data, Michael Matela is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Matela was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.