Matthew Hensley
Critical Care Medicine (Internal Medicine) Physician · Pittsburgh, PA
Matthew Hensley is a critical care medicine (internal medicine) physician with a practice address in Pittsburgh, Pennsylvania, and NPI 1174865596, issued on Mar 24, 2013. Check the license (Pennsylvania MD469637, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Matthew Hensley
- Primary taxonomy
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License number
- MD469637 PA
Self-reported in NPPES; status is on the state search - Practice location
- 5200 Centre Ave, Pittsburgh, PA 15232
- Phone
- (412) 621-1200
- Enumerated
- Mar 24, 2013
- Record last updated
- Mar 25, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20200429000043); accepts Medicare assignment
- Medical or professional school
- University Of Kentucky College Of Medicine, 2013
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest critical care medicine (internal medicine) physician records → All 332 in Pennsylvania → Look up another NPI →
Also registered at 5200 Centre Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Matthew Hensley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD469637Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
18% more Medicare Part D claims than the average critical care medicine (internal medicine) physician in 2024
819 Medicare Part D claims for 129 beneficiaries, against an average of 696 among the 2,873 providers of this specialty who prescribed in Part D. Brand-name drugs were 59% of claims.
Most prescribed
- Albuterol Sulfate Hfa97 claims
- Prednisone96 claims
- Trelegy Ellipta88 claims
- Anoro Ellipta68 claims
- Breo Ellipta54 claims
- Incruse Ellipta54 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 77.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $91.29
1 payment: food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 2,708 providers of this specialty with any payment received $2,958.68 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- University OF Pittsburgh PhysiciansPittsburgh, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Matthew Hensley among 332 critical care medicine (internal medicine) physician records in Pennsylvania
Matthew Hensley is one of 332 critical care medicine (internal medicine) physician records with a practice address in Pennsylvania. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 64% of them.
- NPI issued2013 · 64% of these records are older, 32% newer
- In a Medicare fileYes · 92% of these records are
- In the CMS Doctors and Clinicians fileYes · 85% of these records are
- Graduated2013 · median 2007 among the 282 with a school on file
- Record last updated2021 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0200X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Critical Care Medicine (Internal Medicine) Physician providers in Pennsylvania
There are 332 critical care medicine (internal medicine) physician records in Pennsylvania.
All 332 in Pennsylvania → Every provider in Pittsburgh → Critical Care Medicine (Internal Medicine) Physician nationwide →
The 8 critical care medicine (internal medicine) physician records with the nearest ZIP codes
- Victor Okwiya, MDPittsburgh, PA 152321619942315
- Non Wajanaponsan, M.D.Pittsburgh, PA 152291205035508
- Sanjeev Tyagi, M.D.Pittsburgh, PA 152371609294313
- Robert BartPittsburgh, PA 152241689766354
- Jessica Fozard, DOPittsburgh, PA 152241689100752
- Dhaval Patel, MDPittsburgh, PA 152241487273900
- Meera Sareen, M.DPittsburgh, PA 152241225334758
- Daniel Speredelozzi, M.D.Pittsburgh, PA 152241477817880
Common questions
What is Matthew Hensley's NPI number?
Matthew Hensley's National Provider Identifier (NPI) is 1174865596, issued on Mar 24, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Matthew Hensley located?
The NPPES record lists a practice address at 5200 Centre Ave, Pittsburgh, PA, 15232. Phone: (412) 621-1200. Providers update this record themselves, so call before visiting.
How can I verify Matthew Hensley's license?
NPPES lists Pennsylvania license number MD469637, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Matthew Hensley prescribe under Medicare Part D?
In 2024, Matthew Hensley had 819 Medicare Part D claims for 129 beneficiaries; the average among critical care medicine (internal medicine) physician prescribers was 696. Part D covers Medicare prescriptions only.
What is Matthew Hensley's MIPS final score?
The 2023 MIPS final score is 77.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.