Individual provider Active NPI

Jason J Matyascik, D.O.

  • Family Medicine Physician
  • Hamburg, PA
National Provider Identifier
1760779342
Registry record updated Jul 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT013430 Issued in PA
Practice address
31 Industrial Dr Ste 100
Hamburg, PA 19526-8778
Phone
(610) 816-2170
Fax
(610) 562-9814
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT013430 PA Primary

Addresses

Primary practice location

31 Industrial Dr Ste 100
Hamburg, PA 19526-8778

Mailing address

906 Washington St
PO Box E
Conneautville, PA 16406-7138
Phone (814) 373-2276

Other practice location 1

906 Washington St
PO Box E
Conneautville, PA 16406-7138
Phone (814) 373-2276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20161212001661 PA Practitioner - Family Practice 1355621251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Urgent Care, LLCGroup PAC ID 2668716069, 57 clinicians

Practice addresses (Care Compare)

1050 E Philadelphia Ave
Gilbertsville, PA 19525-9517
Phone (610) 561-6400

1139 Ben Franklin Hwy W
Suite 114
Douglassville, PA 19518-1853
Phone (610) 385-4444

16 Glocker Way
Pottstown, PA 19465-9655
Phone (484) 659-1500

2101 State Hill Rd
Suite 5
Wyomissing, PA 19610-1993
Phone (610) 898-2490

33 W Ridge Pike
Suite 627
Limerick, PA 19468-1824
Phone (610) 226-6200

4603 Perkiomen Ave
Reading, PA 19606-3217
Phone (484) 750-3895

4860 Penn Ave
Sinking Spring, PA 19608-8601
Phone (484) 659-1520

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
77.28 of 100Reported as group
Quality
82.46
Promoting interoperability
97
Improvement activities
40
Cost
44.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT013430PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Urgent Care, LLC Family Medicine CurrentSince May 3, 2021 Accepting new patients
Tower Health Medical Group CurrentSince Aug 26, 2019 Accepting new patients
Tower Health Medical Group Family Medicine Current Accepting new patients
Tower Health Medical Group CurrentSince Aug 26, 2019 Accepting new patients

Locations

1139 Ben Franklin Hwy W
Ste 114
Douglassville, PA 19518
Phone (610) 385-4444

31 Industrial Dr
Hamburg, PA 19526
Phone (610) 562-9020

31 Industrial Dr
Ste 100
Hamburg, PA 19526
Phone (610) 562-9020

33 W Ridge Pike
Ste 627
Royersford, PA 19468
Phone (610) 226-6200

520 Chestnut St
Bldg S3
West Reading, PA 19611
Phone (610) 561-6320

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 4

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1760779342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 WASHINGTON ST",
            "address_2": "PO BOX E",
            "city": "CONNEAUTVILLE",
            "state": "PA",
            "postal_code": "164067138",
            "telephone_number": "814-373-2276",
            "fax_number": "814-587-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 INDUSTRIAL DR STE 100",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195268778",
            "telephone_number": "610-816-2170",
            "fax_number": "610-562-9814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 Washington St",
            "address_2": "PO Box E",
            "address_purpose": "LOCATION",
            "city": "Conneautville",
            "state": "PA",
            "postal_code": "164067138",
            "country_code": "US",
            "telephone_number": "814-373-2276",
            "fax_number": "814-587-2918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATYASCIK",
        "first_name": "JASON",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT013430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, PA

Sources for this page

Verify at the official NPI Registry.