Matthew Roughley

  • Newport Beach, CA
  • Surgical physician assistant
NPI1801497771PAC ID1951788553
Medicare services, 2024
455
Medicare patients, 2024
148
Part D claims, 2024
216
MIPS score, 2024
75
Hospital affiliations
3
Practice address
One Hoag Drive, Newport Beach, CA 92663
Practice phone
Call (949) 764-4624
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Hoag Hospital Newport Beach

Hospital · Newport Beach, California

See all 7 affiliations

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Matthew Roughley is a surgical physician assistant in Newport Beach, California

Matthew Roughley practices at Hoag Hospital Newport Beach in Newport Beach, California, part of Hoag Memorial Hospital Presbyterian.

Matthew Roughley's NPI, 1801497771, was assigned on November 5, 2020.

NPI and contact details
Medicare PAC ID
1951788553
NPI enumeration date
November 5, 2020
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(949) 764-4624
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
31
Medical school graduation
2021

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Matthew Roughley practices at 2 locations in Newport Beach, California

Matthew Roughley's primary practice is Hoag Hospital Newport Beach, at One Hoag Drive, Newport Beach, CA 92663 in Orange County. The practice phone is (949) 764-4624. Matthew Roughley also practices at Hoag Hospital Newport Beach, 1 Hoag Dr, Newport Beach, CA 92663.

  • Hoag Hospital Newport BeachPrimary
    One Hoag Drive, Newport Beach, CA 92663 · Orange CountyPhone(949) 764-4624
  • Hoag Hospital Newport Beach
    1 Hoag Dr, Newport Beach, CA 92663 · Orange CountyPhone(949) 764-4624

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data

Matthew Roughley is affiliated with 4 sites of care and 3 medical groups

Matthew Roughley's primary practice is Hoag Hospital Newport Beach in Newport Beach, California, part of Hoag Memorial Hospital Presbyterian. Matthew Roughley is also affiliated with Providence St. Joseph Hospital Orange. The medical group on file is Newport Harbor Radiology Associates. Dmand AI also links Matthew Roughley to 1 more hospital, 2 medical groups and 1 group practice or clinic, each named with a free account.

See all 7 affiliations for Matthew Roughley

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Matthew Roughley's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Matthew Roughley practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Hoag Hospital Newport BeachAvailable with a free account
+3 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Matthew Roughley is one of 883 surgical physician assistants in California

Surgical is Matthew Roughley's primary specialty in the NPI Registry, under taxonomy code 363AS0400X.

Specialties and state licenses

  • Surgical physician assistantPrimarytaxonomy 363AS0400X
  • Student in an organized health care education/training programtaxonomy 390200000X

Surgical physician assistants near Matthew Roughley

Counts of surgical physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Matthew Roughley billed Medicare for 455 services in 2024

CMS data shows 455 Medicare services from Matthew Roughley across 18 procedure codes in 2024, for 148 Medicare patients. Medicare paid $27,856 for them.

Medicare services, 2024455
Medicare patients148
Paid by Medicare$27,856
Procedure codes18

Matthew Roughley's Medicare services by type, 2024

  1. Surgery269
  2. Imaging97
  3. Office and hospital visits89

Where Matthew Roughley's Medicare services took place, 2024

  • In an office18641%
  • In a facility26959%

Matthew Roughley compared with the California median for surgical physician assistants, 2024

  • Matthew Roughley
  • California median
Medicare services
455vs 2202.1 times
Medicare patients
148vs 9064% above
Part D claims
143vs 1558% below

Medians across 656 surgical physician assistants in California with Dmand AI profiles that report each measure.

Matthew Roughley's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Matthew Roughley treated 148 Medicare patients in 2024, average age 75

CMS counts 148 Medicare patients who saw Matthew Roughley in 2024. The largest group is 75 to 84, with 61 patients. 75% of them have arthritis, and 75% have high blood pressure. 7% are also on Medicaid. Their average risk score is 1.16, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Matthew Roughley's median patient age at 70, with 43% women.

Medicare patients, 2024148
Average age75
Average risk score1.16
Also on Medicaid7%

Matthew Roughley's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Matthew Roughley's Medicare patients by sex, 2024

  • Women7953%
  • Men6947%

Chronic conditions among Matthew Roughley's Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Anxiety34%
  5. Depression32%
  6. Mood disorders32%
  7. Ischemic heart disease30%
  8. Atrial fibrillation23%

Share of Medicare patients with each condition. A patient can have several.

Matthew Roughley's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women43%
  • Men55%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Matthew Roughley wrote 216 Medicare Part D claims in 2024

In 2024, Matthew Roughley wrote 216 Medicare Part D claims for 127 patients. 99% of them were for generic drugs. CMS names the drug for 143 of them, across 5 drugs with 11 or more claims each, at $1,091 in total drug cost.

Part D claims, 2024216
Drugs named by CMS5
Total drug cost$1,091
Part D patients127

Matthew Roughley's Part D claims by kind of drug, 2024

  • Generic214 claims99%
  • Brand-name and other2 claims1%

Matthew Roughley's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Matthew Roughley's Part D claims, 2024

  • Opioids30%65 of 216 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

See all prescribing by Matthew Roughley

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Matthew Roughley scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Matthew Roughley for performance year 2024, reported as part of a group. Matthew Roughley accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Matthew Roughley's MIPS scores, performance year 2024

  • 75of 100Final score
  • 48.6of 100Quality
  • 94of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 74of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Matthew Roughley received $26 in industry payments in 2025

CMS Open Payments shows 1 general payment to Matthew Roughley from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Intrinsic Therapeutics paid the most, $26.

Companies that paid Matthew Roughley the most, 2025 to 2025

Share is of all general payments to this clinician.

See all payments to Matthew Roughley

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Matthew Roughley's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Matthew Roughley

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Matthew Roughley's NPI number?

Matthew Roughley's NPI number is 1801497771. It was assigned on November 5, 2020, and it is active in the NPI Registry.

What does Matthew Roughley specialize in?

Matthew Roughley is a surgical physician assistant in Newport Beach, California. The primary specialty in the NPI Registry is Surgical Physician Assistant (taxonomy code 363AS0400X).

Where does Matthew Roughley practice?

Matthew Roughley practices at One Hoag Drive, Newport Beach, CA 92663. Matthew Roughley also practices at 1 Hoag Dr, Newport Beach, CA 92663. Matthew Roughley's primary practice is Hoag Hospital Newport Beach in Newport Beach, California, part of Hoag Memorial Hospital Presbyterian. Dmand AI also links Matthew Roughley to 1 hospital, 2 medical groups and 1 group practice or clinic.

What is Matthew Roughley's office phone number?

The practice phone on file for Matthew Roughley is (949) 764-4624.

Which hospitals is Matthew Roughley affiliated with?

Matthew Roughley practices at Hoag Hospital Newport Beach in Newport Beach, California. Matthew Roughley is also affiliated with Providence St. Joseph Hospital Orange. Dmand AI links Matthew Roughley to 1 more hospital.

What medical group is Matthew Roughley part of?

Matthew Roughley is linked to Newport Harbor Radiology Associates. Dmand AI links Matthew Roughley to 2 more medical groups.

Does Matthew Roughley accept Medicare?

Yes. CMS data shows Matthew Roughley billed Medicare for 455 services in 2024, and Matthew Roughley accepts Medicare assignment.

What is Matthew Roughley's MIPS score?

Matthew Roughley's MIPS final score for performance year 2024 is 75 out of 100, reported as part of a group.

How many Medicare patients does Matthew Roughley see?

CMS counts 148 Medicare patients who saw Matthew Roughley in 2024, with an average age of 75.

What services does Matthew Roughley bill to Medicare?

In 2024, Matthew Roughley's most billed Medicare services were office visit, established patient (99214), surgery: bones and joints (22853) and diagnostic imaging (72110).

Show 3 more questionsShow fewer questions

What drugs does Matthew Roughley prescribe most?

In 2024 Medicare Part D data, Matthew Roughley's most prescribed drugs by claims were Prednisone, Tramadol HCl and Oxycodone HCl.

Has Matthew Roughley received payments from drug or device companies?

CMS Open Payments shows $26 in general payments to Matthew Roughley from 1 company from 2025 to 2025. The largest total came from Intrinsic Therapeutics.

How long has Matthew Roughley been practicing?

Matthew Roughley graduated from medical school in 2021, 5 years ago.

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