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MATTHEW W MCMULLEN DO
NPI 1982285615
Psychiatry & Neurology - Child & Adolescent Psychiatry in Charlottesville, VA

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
310 OLD IVY WAY STE 104, CHARLOTTESVILLE, VA 22903(434) 358-9090(434) 243-6970 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2026, May 29, 2026, Apr 15, 2021 (3 updates tracked since 2021).

About Matthew W Mcmullen Do NPPES

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

MATTHEW W MCMULLEN DO (NPI 1982285615) is an individual child & adolescent psychiatry provider in Charlottesville, Virginia, licensed in Virginia (0102210187) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charlottesville, and is a graduate of Campbell Univ School Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1982285615
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameMATTHEW W MCMULLENCredential: DO
Location Address310 OLD IVY WAY STE 104Charlottesville, VA 22903-4896
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Phone(434) 358-9090
Fax(434) 243-6970
Sole ProprietorNo
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 15, 2021
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1982285615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in VA · 0102210187
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0102210187 (VA)
310 OLD IVY WAY STE 104, Charlottesville, VA 22903
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-3627

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew W Mcmullen 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 ID2264834498
PECOS Enrollment IDI20260617000469
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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Mcmullen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Virginia Physicians Group
1.4 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

NATALIE H WILNER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
310 OLD IVY WAY STE 104
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-6950

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 Mcmullen's NPI number?

The NPI number for Matthew Mcmullen is 1982285615. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Matthew Mcmullen located?

Matthew Mcmullen practices at 310 Old Ivy Way Ste 104, Charlottesville, VA 22903. The listed phone number is (434) 358-9090.

What is Matthew Mcmullen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Matthew Mcmullen enrolled in Medicare?

Yes. Matthew Mcmullen 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.

Which organization bills Medicare for Matthew Mcmullen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mcmullen reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Mcmullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Mcmullen was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.