DR. MATTHEW DURST
NPI 1104104900
Internal Medicine - Critical Care Medicine in New York, NY

Active since July 27, 2011PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1 GUSTAVE L LEVY PL, BOX 1232, NEW YORK, NY 10029(212) 241-5900 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Durst NPPES

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

DR. MATTHEW DURST (NPI 1104104900) is an individual critical care medicine provider in New York, New York, licensed in New York (273847) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Univ Of Pittsburgh School Of Dental Medicine (2011).

NPPES Registry Identity

NPI1104104900
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. MATTHEW DURST
Location Address1 GUSTAVE L LEVY PL, BOX 1232New York, NY 10029-6504
Mailing Address1 Gustave L Levy Pl, Box 1232New York, NY 10029-6504 · (212) 241-5900
Sole ProprietorNo
Medical School CMSUniv Of Pittsburgh School Of Dental MedicineGraduated 2011
Enumeration DateJuly 27, 2011
Last NPPES UpdateMarch 27, 2017
NPI 1104104900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NY · 273847
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 273847 (NY)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 273847 (NY)
1 GUSTAVE L LEVY PL, New York, NY 10029

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 Durst 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 ID9133494453
PECOS Enrollment IDI20171011003756
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
212 services110 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
167 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
75 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
68 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
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.

Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029

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 Durst's NPI number?

The NPI number for Matthew Durst is 1104104900. It was assigned to this individual provider in the NPPES registry on July 27, 2011.

Where is Matthew Durst located?

Matthew Durst practices at 1 Gustave L Levy Pl Box 1232, New York, NY 10029. The listed phone number is (212) 241-5900.

What is Matthew Durst's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Matthew Durst enrolled in Medicare?

Yes. Matthew Durst 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 Matthew Durst affiliated with any hospitals?

According to CMS data, Matthew Durst is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Durst was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.