Matthew Hensley
NPI 1174865596 · Critical Care Medicine (Internal Medicine) Physician · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Hensley is a Critical Care Medicine (Internal Medicine) Physician provider in Pittsburgh, PA (NPI 1174865596).
Provider details
- NPI number
- 1174865596
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- MD469637 (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
13 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
168 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 71 | $202 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 55 | $74 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 42 | $84 |
Typical Medicare-allowed amounts for these services range $74–$202 (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 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 97 | 32 |
| Prednisone | 96 | 31 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 88 | 26 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 68 | 14 |
| Umeclidinium Bromidebrand: Incruse Ellipta | 54 | — |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 54 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$91 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
- 2013-03-24
- Last updated
- 2021-03-25
- Certified
- 2020-05-28
Frequently asked questions
- What is Matthew Hensley's NPI number?
- Matthew Hensley's National Provider Identifier (NPI) is 1174865596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Hensley's specialty?
- Matthew Hensley is listed in the NPPES registry with a primary specialty of Critical Care Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Hensley located?
- Matthew Hensley's practice location on file with NPPES is 5200 Centre Ave, Pittsburgh, PA 15232-1300.
- What is Matthew Hensley's phone number?
- The practice phone number listed in the NPPES registry for Matthew Hensley is (412) 621-1200.
- Does Matthew Hensley accept Medicare?
- Matthew Hensley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Hensley's NPI active?
- Yes — Matthew Hensley's NPI (1174865596) is active in the NPPES registry as of the last update on 2021-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.