NPIMap

Individual provider Active NPI

Matthew Ledel Leatherman, D.O.

  • Surgical Critical Care Physician
  • Philadelphia, PA
National Provider Identifier
1942541487
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
OS023668 Issued in PA
Practice address
3400 Spruce St
2 Dulles
Philadelphia, PA 19104-4206
Phone
(215) 662-7320
Fax
(215) 349-5917
NPI assigned
Mar 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X OS023668 PA Primary

Addresses

Primary practice location

3400 Spruce St
2 Dulles
Philadelphia, PA 19104-4206

Mailing address

3400 Spruce St
2 Dulles
Philadelphia, PA 19104-4206
Phone (215) 662-7320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240617001283 PA Practitioner - General Surgery 5496187775 Reassigns benefits to 1 organization
I20241022001846 VA Practitioner - General Surgery 5496187775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rocky Vista University College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

190 Campus Blvd
Suite 310
Winchester, VA 22601-2872
Phone (540) 536-0130

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS023668PAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Oct 11, 2024 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Winchester Medical Center CurrentSince Oct 11, 2024 Accepting new patients
Valley Physician Enterprise, Inc Surgery CurrentSince Oct 11, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Oct 11, 2024 Accepting new patients
Winchester Medical Center Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2024 Accepting new patients
University of Penn-Medical Group Surgery CurrentSince Jul 1, 2024 Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3737 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-8664

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

220 Campus Blvd
Ste 320
Winchester, VA 22601

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

190 Campus Blvd
Ste 310
Winchester, VA 22601
Phone (540) 536-0130

Interoperability endpoints

  • Direct secure messaging: mleatherman1459136@valleyhealth.direct-ci.com

Organizations & group practices 11

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": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1942541487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "2 DULLES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-7320",
            "fax_number": "215-349-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "2 DULLES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-7320",
            "fax_number": "215-349-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERMAN",
        "first_name": "MATTHEW",
        "middle_name": "LEDEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "OS023668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.