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MATTHEW JAMES DONOVAN
NPI 1972186146
Physician Assistant in Everett, MA

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
103 GARLAND ST, EVERETT, MA 02149(617) 389-6270 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2021, May 4, 2021 (2 updates tracked since 2021).

About Matthew James Donovan NPPES

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

MATTHEW JAMES DONOVAN (NPI 1972186146) is an individual physician assistant in Everett, Massachusetts and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972186146
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW JAMES DONOVAN
Location Address103 GARLAND STEverett, MA 02149-5066
Mailing Address47 Winford WayWinchester, MA 01890-4030 · (781) 570-6067
Phone(617) 389-6270
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 4, 2021
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1972186146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
103 GARLAND ST, Everett, MA 02149
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Other Identifiers 1

OtherPA8320MA · Board Of Registration Of Physician Assistants

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Matthew James Donovan 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 ID1850785502
PECOS Enrollment IDI20220223002335
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services42 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.
42 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services19 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.
25 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02149 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

Other Providers at the Same Location NPPES 20

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

DMITRIY KIREYEV MD
Internal Medicine (Cardiovascular Disease)
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (781) 394-7731
EDWARD M. MONROE LICSW
Social Worker (Clinical)
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 394-7689
CAMBRIDGE PUBLIC HEALTH COMMISSION
General Acute Care Hospital
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 389-6270
MS. KATHLEEN ANN MAGUIRE R.N.
Registered Nurse
103 GARLAND ST, EAST 3
EVERETT, MA 02149
Middlesex County (617) 389-2727
JOANNE CAROL AGNES RN,AD
Registered Nurse
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 389-7133
MR. NICHOLAS ROBERT GIURLEO PT
Physical Therapist
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 381-7143
PHYSICIAN COVERAGE SERVICES
Internal Medicine
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 921-3237
SYLVIA MATEEGA
Pharmacist
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 381-7163

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 Donovan's NPI number?

The NPI number for Matthew Donovan is 1972186146. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Matthew Donovan located?

Matthew Donovan practices at 103 Garland St, Everett, MA 02149. The listed phone number is (617) 389-6270.

What is Matthew Donovan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Donovan enrolled in Medicare?

Yes. Matthew Donovan 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 Matthew Donovan accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew Donovan 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 Matthew Donovan affiliated with any hospitals?

According to CMS data, Matthew Donovan is affiliated with Cambridge Health Alliance and Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Donovan was last updated on November 15, 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.