Active NPI
Matthew Dewolf
- Orthopaedic Surgery Physician
- Pittsfield, MA
National Provider Identifier
1306265343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ETL6008
- Practice address
- 24 Park St
Pittsfield, MA 01201-0900 - Phone
- (413) 499-6600
- NPI assigned
- Apr 7, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Pittsfield, MA
- NPI 1720117047
MA
-
- Physical Therapist
- Pittsfield, MA
- NPI 1689984247
-
- Occupational Therapist
- Pittsfield, MA
- NPI 1770893331
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pittsfield, MA
- NPI 1205948973
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- University of Massachusetts Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Berkshire Orthopaedic Associates Inc
Practice addresses (Care Compare)
24 Park St
Pittsfield, MA 01201-0900
Phone (413) 499-6600
Hospital & facility affiliations
- Berkshire Visiting Nurse Association
- Berkshire Medical Center
- North Adams Regional Hospital Corporation
- Fairview Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 132 |
| Melanoma (skin cancer) excision | 17 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200811002958 | MA | Practitioner - Hand Surgery | 6507163508 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Orthopaedic Associates, Inc. | Past | Accepting new patients |
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | ETL6008 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | ETL6008 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
24 Park St
Pittsfield, MA 01201-0900
Mailing address
24 Park St
Pittsfield, MA 01201-0900
Phone (413) 499-6600
Other practice location 1
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-5133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2020.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1306265343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 PARK ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012010900",
"telephone_number": "413-499-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 PARK ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012010900",
"telephone_number": "413-499-6600"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-5133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEWOLF",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MA",
"license": "ETL6008",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "ETL6008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.