DR. MATTHEW SHANE PETRIE (M.D.) – Dermatology Physician, NPI 1114128808
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
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Provider Addresses for DR. MATTHEW SHANE PETRIE (M.D.)
Mc Murray, Venetia, Peters Township, Washington County, Pennsylvania, 15332-3246, United States
SUITE 203
MC MURRAY, PA 153173279
Phone: (724) 260-5424
Fax: (724) 260-5425
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $140.
Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.
Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($81).
Total Amount
$140
General + Research + Ownership
Payments
6
Total payment records
General Amount
$140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $81 |
| E.R. Squibb & Sons, L.L.C. | $24 |
| PFIZER INC. | $22 |
| Dermavant Sciences, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100831000689 | I | Dermatology | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 464 | 78 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 284 | 197 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 167 | 138 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 140 | 105 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 120 | 101 | $0 |
Insurance plans in this area (ZIP 15317)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | PA | 17003 | Destruction of 2-14 skin growths | 64 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Physician Assistant | PA |
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