Matthew Coates, M.D., PH.D.
NPI 1053438838 · Gastroenterology Physician · Hershey, PA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Coates, M.D., PH.D. is a Gastroenterology Physician provider in Hershey, PA (NPI 1053438838).
Provider details
- NPI number
- 1053438838
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD448659 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
83 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 27 | $239 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 26 | $87 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 19 | $125 |
| Diagnostic Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43235 | 11 | $99 |
Typical Medicare-allowed amounts for these services range $87–$239 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ustekinumabbrand: Stelara | 42 | — |
| Adalimumabbrand: Humira(cf) Pen | 28 | — |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 19 | 17 |
| Omeprazole | 15 | — |
| Mesalamine | 14 | — |
| Azathioprine | 14 | — |
| Adalimumab-Adbmbrand: Cyltezo(cf) Pen | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$109 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-25
- Last updated
- 2015-09-02
Frequently asked questions
- What is Matthew Coates's NPI number?
- Matthew Coates's National Provider Identifier (NPI) is 1053438838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Coates's specialty?
- Matthew Coates is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Coates located?
- Matthew Coates's practice location on file with NPPES is 500 University Dr, Hershey, PA 17033-2360.
- What is Matthew Coates's phone number?
- The practice phone number listed in the NPPES registry for Matthew Coates is (800) 243-1455.
- Does Matthew Coates accept Medicare?
- Matthew Coates is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Coates's NPI active?
- Yes — Matthew Coates's NPI (1053438838) is active in the NPPES registry as of the last update on 2015-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.