Individual provider Active NPI

Matthew Gary Walton, D.O.

  • Family Medicine Physician
  • Clairton, PA
National Provider Identifier
1780904763
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015766 Issued in PA
Practice address
1200 Brooks LN Ste 110
Clairton, PA 15025-3749
Phone
(412) 466-5502
Fax
(412) 469-8948
NPI assigned
Jun 1, 2010
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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 OS015766 PA Primary

Addresses

Primary practice location

1200 Brooks LN Ste 110
Clairton, PA 15025-3749

Mailing address

1200 Brooks LN Ste 110
Clairton, PA 15025-3749
Phone (412) 466-5502

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwalton139181@direct.ahn.org

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
I20140903000080 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3678791738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

1291 N Ctr Ave
CPG Somerset Primary Care
Somerset, PA 15501-1630
Phone (814) 445-4585

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS015766PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medical Group PCG1 CurrentSince Aug 1, 2014 Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 1, 2023 Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1200 Brooks Ln
Ste 110
Jefferson Hills, PA 15025
Phone (412) 466-5502

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1645 Rostraver Rd
Rostraver Township, PA 15012
Phone (724) 929-2260

1645 Rostraver Rd
Ste 202
Rostraver Township, PA 15012
Phone (724) 929-2260

1291 N Center Ave
Somerset, PA 15501
Phone (814) 443-1219

1291 N Center Ave
Ste 150
Somerset, PA 15501

Interoperability endpoints

  • Direct secure messaging: mwalton48892@direct.conemaugh.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1780904763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN STE 110",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253749",
            "telephone_number": "412-466-5502",
            "fax_number": "412-469-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN STE 110",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253749",
            "telephone_number": "412-466-5502",
            "fax_number": "412-469-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "MATTHEW",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwalton139181@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1200 Brooks Ln Ste 110",
            "city": "Clairton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150253749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clairton, PA

Sources for this page

Verify at the official NPI Registry.