NPIMap

Individual provider Active NPI

Matthew Varacallo, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Du Bois, PA
National Provider Identifier
1629415682
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD467204 Issued in PA
Practice address
145 Hospital Ave Ste 311
Du Bois, PA 15801-1465
Phone
(814) 299-7432
Fax
(814) 299-7434
NPI assigned
May 31, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 207X00000X PA
Orthopaedic Surgery Physician 207X00000X MD467204 PA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 51607 KY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD467204 PA Primary

Addresses

Primary practice location

145 Hospital Ave Ste 311
Du Bois, PA 15801-1465

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200

Other identifiers 1

IdentifierTypeStateIssuer
103647928MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725000115 PA Practitioner - Orthopedic Surgery 7416209291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Pennsylvania State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

145 Hospital Ave
Suite 206
Du Bois, PA 15801-1464
Phone (814) 375-7797

205 Hampton Ave
Punxsutawney, PA 15767-2133
Phone (814) 938-0148

Hospital & facility affiliations

  • Penn Highlands Community Nurses Home health agency, Saint Marys, PA, CCN 397028
  • Penn Highlands Community Nurses Home health agency, Clearfield, PA, CCN 397091
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement17
Knee replacement51
Lower limb (leg) arthroscopy (minimally invasive joint repair)17
Upper limb (arm) arthroscopy (minimally invasive joint repair)35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207X00000XPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Aug 2, 2019 Accepting new patients
Dubois Regional Medical Center Orthopaedic Surgery CurrentSince Aug 2, 2019 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients
Clearfield Hospital Past Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

145 Hospital Ave
Ste 206
Dubois, PA 15801
Phone (814) 299-7432

145 Hospital Ave
Ste 311
Dubois, PA 15801
Phone (814) 375-3750

145 Hospital Ave
Ste 312
Dubois, PA 15801
Phone (814) 375-2005

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

761 Johnsonburg Rd
Ste 310
Saint Marys, PA 15857
Phone (814) 788-8577

Interoperability endpoints

  • Direct secure messaging: mavaracallo@1285.direct.myezyaccess.com

Organizations & group practices 5

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.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1629415682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE STE 311",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011465",
            "telephone_number": "814-299-7432",
            "fax_number": "814-299-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARACALLO",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "207X00000X",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD467204",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KY",
            "license": "51607",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD467204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103647928",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.