NPIMap

Individual provider Active NPI

Matthew Timmins Stainbrook, DO

  • Nephrology Physician
  • Du Bois, PA
National Provider Identifier
1699714030
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS009810L Issued in PA
Practice address
190 W Park Ave
Ste. 6
Du Bois, PA 15801-2277
Phone
(814) 371-7590
Fax
(814) 371-7579
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS009810L PA Primary

Addresses

Primary practice location

190 W Park Ave
Ste. 6
Du Bois, PA 15801-2277

Mailing address

190 W Park Ave
Ste. 6
Du Bois, PA 15801-2277
Phone (814) 371-7590

Other identifiers 6

IdentifierTypeStateIssuer
180789OtherUNISON HEALTH PLAN
1548142OtherGATEWAY HEALTH PLAN
7239118OtherAETNA
1741708OtherPAHIGHMARK BLUE SHIELD
001972729002MedicaidPA
704495OtherUPMC HEALTH PLAN

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
I20050815000500 PA Practitioner - NephrologyPractitioner - Internal Medicine 7214967785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 W Park Ave
Suite 1
Du Bois, PA 15801-2277
Phone (814) 917-7599

Hospital & facility affiliations

  • FKC DuBois Dialysis facility, DuBois, PA, CCN 392746
  • DaVita Clearfield Dialysis Dialysis facility, Clearfield, PA, CCN 392704
  • DCI Punxsutawney Dialysis facility, Punxsutawney, PA, CCN 392681
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Penn Highlands Dubois Inpatient rehabilitation facility, Dubois, PA, CCN 39T086

Merit-based Incentive Payment System (MIPS)

Final score
91 of 100Reported as individual
Quality
90.47
Improvement activities
40
Cost
66.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Du Bois Nephrology Associates, PC Nephrology CurrentSince Mar 10, 2014 Accepting new patients
Kidney Care Services of Dubois LLC PastSince Sep 12, 2007 Accepting new patients

Locations

190 W Park Ave
Ste 6
Dubois, PA 15801
Phone (814) 371-6172

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

190 W Park Ave
Ste 1
Dubois, PA 15801
Phone (814) 371-7590

100 Hospital Ave
Ofc
Dubois, PA 15801

3 Penn Ctr W
Ste 127
Pittsburgh, PA 15276

1 Penn Ctr W
Ste 307
Pittsburgh, PA 15276

Interoperability endpoints

  • Direct secure messaging: drstainbrook@dna.medentdirect.com

Organizations & group practices 2

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 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1699714030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W PARK AVE",
            "address_2": "STE. 6",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012277",
            "telephone_number": "814-371-7590",
            "fax_number": "814-371-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W PARK AVE",
            "address_2": "STE. 6",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012277",
            "telephone_number": "814-371-7590",
            "fax_number": "814-371-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINBROOK",
        "first_name": "MATTHEW",
        "middle_name": "TIMMINS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS009810L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "180789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1548142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7239118",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1741708",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001972729002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "704495",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.