Matthew Dewolf

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ETL6008 Issued in MA

Practice address

24 Park St
Pittsfield, MA 01201-0900

Phone

(413) 499-6600

NPI assigned

Apr 7, 2014

Last updated

Aug 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hand SurgeryAlso: Orthopedic Surgery

Education

University of Massachusetts Medical School, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berkshire Orthopaedic Associates IncGroup PAC ID 2567498363, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
• Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
• North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304
• Fairview Hospital Hospital, Great Barrington, MA, CCN 221302

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berkshire Orthopaedic Associates, Inc.

  • Orthopaedic Surgery Physician
  • Pittsfield, MA
  • NPI 1720117047
  Medicare reassignment Care Compare group
• Berkshire Orthopaedic Associates, Inc.

  dba Berkshire Sports & Physical Therapy

  • Physical Therapist
  • Pittsfield, MA
  • NPI 1689984247
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Care Compare affiliation
• Berkshire Medical Center, Inc.

  • Home Health Agency
  • Pittsfield, MA
  • NPI 1205948973
  Care Compare affiliation
• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1730112251
  Care Compare affiliation
• North Adams Regional Hospital Corporation

  • Critical Access Hospital
  • North Adams, MA
  • NPI 1437839669
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": []
}

• Joan L Devoe, MS, CCC, SLP
• Devon Connor Counseling LLC
• Marjorie Yvonne Devries, M.D
• Shannon Devries, R.D., LDN
• Kim T Dewitt, LICSW
• Veronica O Deyeso, MD
• Scott Dezieck, COTA/L
• Paola Di Tolla, MSW, LCSW
• Diamond Dogs Counseling Group PLLC
• Carol F Dickinson, FNP

• Orthopaedic Surgery Physician in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• 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.

Verify at the official NPI Registry.