DR. MATTHEW J. RAIDER M.D.
NPI 1073562674
Family Medicine - Geriatric Medicine in Middletown, CT

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
645 SAYBROOK RD, MIDDLETOWN, CT 06457(860) 767-4024(860) 344-9906 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew J. Raider M.d. NPPES

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

DR. MATTHEW J. RAIDER M.D. (NPI 1073562674) is an individual geriatric medicine provider in Middletown, Connecticut, licensed in Connecticut (22948) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1979).

NPPES Registry Identity

NPI1073562674
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. MATTHEW J. RAIDERCredential: M.D.
Location Address645 SAYBROOK RDMiddletown, CT 06457-4746
Mailing Address645 Saybrook RdMiddletown, CT 06457-4746 · (860) 767-4024 · Fax (860) 344-9906
Fax(860) 344-9906
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1979
Enumeration DateMay 9, 2006
Last NPPES UpdateJanuary 6, 2017
NPI 1073562674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in CT · 22948
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 22948 (CT)
645 SAYBROOK RD, Middletown, CT 06457

Other Identifiers 3

Medicare PIN380000186
Medicare UPINB38569
Medicare PIND400001741

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

Dr. Matthew J. Raider 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 ID4587677737
PECOS Enrollment IDI20060711000224
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 4

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.

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
48 services47 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
48 services29 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
21 services20 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
3 suppliers13 claims13 services$43.73 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers38 claims38 services$13.73 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers33 claims33 services$7.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Family Medicine (Geriatric Medicine)
645 SAYBROOK RD
MIDDLETOWN, CT 06457
Assisted Living Facility
645 SAYBROOK RD
MIDDLETOWN, CT 06457
Assisted Living Facility
645 SAYBROOK RD
MIDDLETOWN, CT 06457
Occupational Therapist
645 SAYBROOK RD
MIDDLETOWN, CT 06457

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 Raider's NPI number?

The NPI number for Matthew Raider is 1073562674. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Matthew Raider located?

Matthew Raider practices at 645 Saybrook Rd, Middletown, CT 06457. The listed phone number is (860) 767-4024.

What is Matthew Raider's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Matthew Raider enrolled in Medicare?

Yes. Matthew Raider 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.

When was this NPI record last updated?

The NPPES record for Matthew Raider was last updated on January 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.