Matthew Mcmullen, DO
NPI 1245686088 · Internal Medicine Physician · Warwick, RI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Mcmullen, DO is a Internal Medicine Physician provider in Warwick, RI (NPI 1245686088).
Provider details
- NPI number
- 1245686088
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- DO00979 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
446 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 177 | $117 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 116 | $114 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 89 | $77 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 35 | $80 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 29 | $166 |
Typical Medicare-allowed amounts for these services range $77–$166 (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 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 23 | 19 |
| Prednisone | 20 | 19 |
| Apixabanbrand: Eliquis | 15 | — |
| Furosemide | 14 | 12 |
| Metoprolol Succinate | 12 | — |
| Isosorbide Mononitratebrand: Isosorbide Mononitrate Er | 11 | — |
| Empagliflozin |
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-11
- Last updated
- 2022-09-23
- Certified
- 2022-09-23
Frequently asked questions
- What is Matthew Mcmullen's NPI number?
- Matthew Mcmullen's National Provider Identifier (NPI) is 1245686088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Mcmullen's specialty?
- Matthew Mcmullen is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Mcmullen located?
- Matthew Mcmullen's practice location on file with NPPES is 455 Toll Gate Rd, Warwick, RI 02886-2759.
- What is Matthew Mcmullen's phone number?
- The practice phone number listed in the NPPES registry for Matthew Mcmullen is (401) 737-7000.
- Does Matthew Mcmullen accept Medicare?
- Matthew Mcmullen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Mcmullen's NPI active?
- Yes — Matthew Mcmullen's NPI (1245686088) is active in the NPPES registry as of the last update on 2022-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.