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MATTHEW PELLERITE RD
NPI 1033927504
Dietitian, Registered in Buffalo, NY

Active since December 30, 2024Accepts Medicare Assignment
300 NIAGARA ST, BUFFALO, NY 14201(716) 242-8600(716) 332-0832 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Pellerite Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW PELLERITE RD (NPI 1033927504) is an individual dietitian, registered in Buffalo, New York, licensed in New York (010506) and active in the NPI registry since December 2024. He maintains a secondary practice location in Buffalo and is a graduate of Other (2016).

NPPES Registry Identity

NPI1033927504
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMATTHEW PELLERITECredential: RD
Location Address300 NIAGARA STBuffalo, NY 14201-2135
Mailing Address155 Lawn AveBuffalo, NY 14207-1816 · (716) 875-2904 · Fax (716) 875-6717
Phone(716) 242-8600
Fax(716) 332-0832
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
✔ NPI 1033927504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 010506
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
300 NIAGARA ST, Buffalo, NY 14201
Open in Google Maps ↗

Secondary Practice Location 1

Location 11569 Niagara StBuffalo, NY 14213-1101 · Phone (716) 427-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Pellerite Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224566419
PECOS Enrollment IDI20250116000042

Medicare Billing Reassignment

Medicare enrollment records show Matthew Pellerite reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neighborhood Health Center Of Wny, Inc.
4.0 mi
Obstetrics & Gynecology
155 LAWN AVE
Buffalo, NY 14207
  • Reassigned Medicare billing, New York enrollment
  • 54 clinicians in this Medicare group
NPI 1881789014 (716) 875-2904

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA A PASTORE FNP
Family Medicine
300 NIAGARA ST, NIAGARA FAMILY HEALTH CENTER
BUFFALO, NY 14201
Erie County (716) 859-4110
MS. KIMBERLEY ALEXANDRIA WILSON NP
Nurse Practitioner (Adult Health)
300 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 859-5600
TANISHA GONZALEZ RDN
Dietitian, Registered
300 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 242-8600
TULASI MAYA SIWAKOTI LMSW
Social Worker
300 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 242-8600
KRISTEN CALLANAN
Social Worker
300 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 242-8600
YOLANDA K PEREIRA FNP
Nurse Practitioner (Family)
300 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 242-8600
DR. BRIAN VOORHEES PHARMD
Pharmacist
300 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 242-8608
SOFIA ROSE ADAMS
Physician Assistant (Surgical)
300 NIAGARA ST
BUFFALO, NY 14201
Erie County (716) 242-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Pellerite's NPI number?

The NPI number for Matthew Pellerite is 1033927504. It was assigned to this individual provider in the NPPES registry on December 30, 2024.

Where is Matthew Pellerite located?

Matthew Pellerite practices at 300 Niagara St, Buffalo, NY 14201. The listed phone number is (716) 242-8600.

What is Matthew Pellerite's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Matthew Pellerite enrolled in Medicare?

Yes. Matthew Pellerite is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Matthew Pellerite's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Pellerite reassigns Medicare benefits to Neighborhood Health Center Of Wny, Inc. (Buffalo, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Pellerite's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Pellerite was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.