MATTHEW ROBERT DETTRA (PA-C) – Medical Physician Assistant, NPI 1760041636
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,738 PHYSICIAN ASSISTANT in PA
Loading map...
Provider Addresses for MATTHEW ROBERT DETTRA (PA-C)
484, Silver Avenue, Upper Southampton Township, Bucks County, Pennsylvania, 18966, United States
SOUTHAMPTON, PA 189663541
Phone:
Type: Mailing
822, Pine Street, Bella Vista, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States
PHILADELPHIA, PA 191076187
Phone: (267) 519-0154
Type: Location
1240 S Broad St Ste 200
Lansdale, PA 194465395
Phone: (215) 361-3376
Type: Location
455 PENNSYLVANIA AVE STE 127
FORT WASHINGTON, PA 190343409
Phone: (215) 793-9755
Fax: (215) 412-3587
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 208 Open Payments records for all available years, with a total value of $4,676.
Total Amount is formed as General ($4,676) + Research ($0) + Ownership ($0) = $4,676.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,259).
Total Amount
$4,676
General + Research + Ownership
Payments
208
Total payment records
General Amount
$4,676
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,259 |
| ABBVIE INC. | $1,054 |
| Incyte Corporation | $354 |
| Arcutis Biotherapeutics, Inc. | $343 |
| Regeneron Healthcare Solutions, Inc. | $287 |
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: 2020-02-06
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200206000919 | I | Physician Assistant | 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 | 106 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 72 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 42 | 40 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 36 | 33 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 19 | 13 | $0 |
Insurance plans in this area (ZIP 18966)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | PA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | PA | |
| D E R M A T O L O G Y | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.