MATHEW HAMULA M.D.
NPI 1053722603
Orthopaedic Surgery - Sports Medicine in Flushing, NY

Active since May 16, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5645 MAIN ST, FLUSHING, NY 11355(718) 670-2558 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, May 13, 2024, May 9, 2024 and 3 more (6 updates tracked since 2019).

About Mathew Hamula M.d. NPPES

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

MATHEW HAMULA M.D. (NPI 1053722603) is an individual sports medicine provider in Flushing, New York, licensed in New York (304081) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053722603
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameMATHEW HAMULACredential: M.D.
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address5645 Main StFlushing, NY 11355-5045 · (909) 714-9133
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 16, 2014
Last NPPES UpdateJune 18, 20256 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1053722603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in NY · 304081
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A165522 (CA), 304081 (NY)
5645 MAIN ST, Flushing, NY 11355

Secondary Practice Locations 2

Location 1550 1st AveNew York, NY 10016-6402 · Phone (212) 263-7300
Location 26801 Park Ter Ste 400Los Angeles, CA 90045-9212 · Phone (310) 665-7235

Other Identifiers 1

Medicaid03368581NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mathew Hamula M.d. 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 ID4789016924
PECOS Enrollment IDI20201001002909
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
284 services120 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services67 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
84 services37 patients
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
80 services21 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
49 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355

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 Mathew Hamula's NPI number?

The NPI number for Mathew Hamula is 1053722603. It was assigned to this individual provider in the NPPES registry on May 16, 2014.

Where is Mathew Hamula located?

Mathew Hamula practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-2558.

What is Mathew Hamula's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Mathew Hamula enrolled in Medicare?

Yes. Mathew Hamula 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.

Is Mathew Hamula affiliated with any hospitals?

According to CMS data, Mathew Hamula is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Mathew Hamula was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.