Doctor profile · Federal record
Dr. Matthew Hensley
Critical Care Medicine (Internal Medicine) Physician (CMS: Pulmonary Disease) · Pittsburgh, PA
- NPI 1174865596
- Accepts Medicare
- MIPS 77.5 / 100 · 2023
- 13 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5200 Centre Ave
Pittsburgh, PA 152321300
(412) 621-1200
Credentials & registration
- NPI registered
- March 2013 — 13 yrs on file
- Profile last updated
- March 25, 2021
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207RC0200X — NUCC code
- State license (1)
- Pennsylvania #MD469637
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174865596. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
339
Distinct HCPCS
7
Medicare allowed
$40,575
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 134 | 75 | $76 | |
99291 |
Critical care, first 30-74 minutes | 102 | 58 | $206 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 36 | 25 | $87 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | 22 | $126 | |
36556 |
Insertion of non-tunneled central venous tube for infusion (5 years or older) | 19 | 18 | $78 | |
36620 |
Insertion of artery tube for blood sampling or infusion through skin | 14 | 14 | $43 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $108 |
In context: peer comparison
Among 25 peers in this city , average services per provider: 55. This provider delivers 6.2× the peer median.Open Payments
Industry payments received
All-time total
$91
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 1 | $91.29 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
582
Patients
117
Total drug cost
$200,215
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 78 | 16 | $51,359 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 66 | 20 | $31,402 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 61 | 0 | $31,805 |
| Prednisone | Generic | 60 | 21 | $467 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 43 | 18 | $1,643 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 40 | 13 | $2,927 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 38 | 0 | $18,863 |
| Advair Hfa (Fluticasone Propion/Salmeterol) | Brand | 35 | 0 | $21,427 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 35 | 0 | $14,529 |
| Azithromycin | Generic | 34 | 16 | $538 |
Hospital affiliations
Frequently asked questions
What is Dr. Matthew Hensley's medical specialty?
Dr. Matthew Hensley practices Critical Care Medicine (Internal Medicine) Physician in Pittsburgh, PA.
Where does Dr. Matthew Hensley practice?
Dr. Matthew Hensley practices at 5200 Centre Ave, Pittsburgh, PA 152321300. Office phone: 4126211200.
What is Dr. Matthew Hensley's NPI?
Dr. Matthew Hensley's National Provider Identifier (NPI) is 1174865596, issued by NPPES.
Does Dr. Matthew Hensley accept Medicare assignment?
Yes. Dr. Matthew Hensley accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Matthew Hensley commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Critical care (HCPCS 99291); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.