MATTHEW NIKOLOFF M.D.
NPI 1912124256
Internal Medicine - Gastroenterology in Chambersburg, PA

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
835 5TH AVE, CHAMBERSBURG, PA 17201(717) 263-0629(717) 263-7105 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Nikoloff M.d. NPPES

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

MATTHEW NIKOLOFF M.D. (NPI 1912124256) is an individual gastroenterology provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (MD438507) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Wellspan Waynesboro Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2005).

NPPES Registry Identity

NPI1912124256
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMATTHEW NIKOLOFFCredential: M.D.
Location Address835 5TH AVEChambersburg, PA 17201-4220
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 263-0629 · Fax (717) 263-7105
Fax(717) 263-7105
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2005
Enumeration DateApril 19, 2007
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
NPI 1912124256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · MD438507
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT186406 (PA)
835 5TH AVE, Chambersburg, PA 17201

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 Nikoloff 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 ID6507034865
PECOS Enrollment IDI20110713000145
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 14

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
189 services189 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
90 services90 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.
72 services68 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
71 services70 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
66 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390138
Location501 East Main StWaynesboro, PA 17268 · Franklin County
Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Gastroenterology)
835 5TH AVE
CHAMBERSBURG, PA 17201
Internal Medicine (Gastroenterology)
835 5TH AVE
CHAMBERSBURG, PA 17201
Physician Assistant (Medical)
835 5TH AVE
CHAMBERSBURG, PA 17201
Nurse Anesthetist, Certified Registered
835 5TH AVE
CHAMBERSBURG, PA 17201
Clinic/Center (Endoscopy)
835 5TH AVE
CHAMBERSBURG, PA 17201
Nurse Anesthetist, Certified Registered
835 5TH AVE, WELLSPAN ANESTHESIOLOGY
CHAMBERSBURG, PA 17201
Internal Medicine (Gastroenterology)
835 5TH AVE
CHAMBERSBURG, PA 17201
Nurse Anesthetist, Certified Registered
835 5TH AVE
CHAMBERSBURG, PA 17201

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 Nikoloff's NPI number?

The NPI number for Matthew Nikoloff is 1912124256. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Matthew Nikoloff located?

Matthew Nikoloff practices at 835 5th Ave, Chambersburg, PA 17201. The listed phone number is (717) 263-0629.

What is Matthew Nikoloff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Matthew Nikoloff enrolled in Medicare?

Yes. Matthew Nikoloff 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 Nikoloff affiliated with any hospitals?

According to CMS data, Matthew Nikoloff is affiliated with Wellspan Waynesboro Hospital and Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Nikoloff was last updated on October 26, 2021. 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.