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CLAUDIA MATTHEWS
NPI 1962399410
Family Medicine in Scottdale, PA

Active since June 18, 2025PECOS EnrolledAccepts Medicare Assignment
103 MARKET ST, SCOTTDALE, PA 15683(724) 220-5422 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2025, Jun 18, 2025 (2 updates tracked since 2025).

About Claudia Matthews NPPES

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

CLAUDIA MATTHEWS (NPI 1962399410) is an individual family medicine provider in Scottdale, Pennsylvania, licensed in Pennsylvania (SP032305) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Connellsville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1962399410
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLAUDIA MATTHEWS
Location Address103 MARKET STScottdale, PA 15683-2047
Mailing Address103 Market StScottdale, PA 15683-2047
Phone(724) 220-5422
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 18, 2025
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1962399410 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 · SP032305
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.
103 MARKET ST, Scottdale, PA 15683
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Claudia Matthews 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 ID1153820444
PECOS Enrollment IDI20250814003055
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.

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Connellsville

Acute Care Hospitals · Connellsville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390184
Location401 East Murphy AvenueConnellsville, PA 15425 · Fayette County
Emergency services

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number390217
Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15683 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.

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.

SCOTTDALE FAMILY HEALTH
Nurse Practitioner (Family)
103 MARKET ST
SCOTTDALE, PA 15683
Westmoreland County (724) 797-0014
SAMANTHA HERDT CRNP
Nurse Practitioner (Family)
103 MARKET ST
SCOTTDALE, PA 15683
Westmoreland County (724) 220-5422
MRS. REBECCA DIONA LUKER MFT
Marriage & Family Therapist
103 MARKET ST
SCOTTDALE, PA 15683
Westmoreland County (724) 220-5422

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 Claudia Matthews's NPI number?

The NPI number for Claudia Matthews is 1962399410. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Claudia Matthews located?

Claudia Matthews practices at 103 Market St, Scottdale, PA 15683. The listed phone number is (724) 220-5422.

What is Claudia Matthews's specialty?

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

Is Claudia Matthews enrolled in Medicare?

Yes. Claudia Matthews 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 Claudia Matthews accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Claudia Matthews 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 Claudia Matthews affiliated with any hospitals?

According to CMS data, Claudia Matthews is affiliated with Penn Highlands Connellsville and Excela Health - Frick Hospital.

When was this NPI record last updated?

The NPPES record for Claudia Matthews was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.