NPIMap

Individual provider Active NPI

Matthew Francis Wilson, DO

  • Sports Medicine (Family Medicine) Physician
  • York, PA
National Provider Identifier
1902067739
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS014932 Issued in PA
Practice address
2295 N Susquehanna TRL Ste a
York, PA 17404-8495
Phone
(717) 812-0731
Fax
(717) 812-9848
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014932 PA
Sports Medicine (Family Medicine) Physician 207QS0010X OS014932 PA Primary

Addresses

Primary practice location

2295 N Susquehanna TRL Ste a
York, PA 17404-8495

Mailing address

2295 N Susquehanna TRL Ste a
York, PA 17404-8495
Phone (717) 812-0731

Other identifiers 3

IdentifierTypeStateIssuer
OSO14932OtherPALICENSE
102727766MedicaidPA
1027277660001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwilson5876@phsdirect.pinnaclehealth.org

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
I20120802000141 PA Practitioner - Family PracticePractitioner - Sports Medicine 3779739016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Regional PhysiciansGroup PAC ID 7416228358, 158 clinicians

Practice addresses (Care Compare)

2295 N Susquehanna TR
Suite a
York, PA 17404-8495
Phone (717) 812-0731

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Lancaster, PA, CCN 397401
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 2, 2014 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 2, 2014 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Sep 22, 2018 Accepting new patients
Pinnacle Health Regional Physicians Family Medicine CurrentSince Sep 22, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
York Clinic Company LLC Family Medicine PastSince Jul 1, 2012 Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

21 Waterford Dr
Silver Spg Tp, PA 17050
Phone (717) 591-3630

2295 N Susquehanna Trl
York, PA 17404
Phone (717) 812-0731

2295 N Susquehanna Trl
#A
York, PA 17404
Phone (717) 812-0731

Organizations & group practices 7

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902067739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 N SUSQUEHANNA TRL STE A",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174048495",
            "telephone_number": "717-812-0731",
            "fax_number": "717-812-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 N SUSQUEHANNA TRL STE A",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174048495",
            "telephone_number": "717-812-0731",
            "fax_number": "717-812-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MATTHEW",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014932",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS014932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OSO14932",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102727766",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027277660001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwilson5876@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2295 N Susquehanna Trl",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.