MATTHEW PETCOFF CNM
NPI 1114557279
Advanced Practice Midwife in New York, NY
About Matthew Petcoff Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW PETCOFF CNM (NPI 1114557279) is an individual advanced practice midwife in New York, New York, licensed in New York (002347) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Petcoff Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Petcoff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
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 10034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10034
NEW YORK, NY 10034
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 Petcoff's NPI number?
The NPI number for Matthew Petcoff is 1114557279. It was assigned to this individual provider in the NPPES registry on January 16, 2020.
Where is Matthew Petcoff located?
Matthew Petcoff practices at 5141 Broadway, New York, NY 10034. The listed phone number is (212) 932-4200.
What is Matthew Petcoff's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Matthew Petcoff enrolled in Medicare?
Yes. Matthew Petcoff is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Matthew Petcoff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Petcoff reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ). Each 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 Petcoff'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 Petcoff was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Matthew Petcoff, CNM · NPI 1114557279
Advanced Practice Midwife physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 16, 2020.
## Identity
- **NPI:** 1114557279 (Entity type: Individual)
- **Enumerated:** January 16, 2020
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 002347 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5141 BROADWAY, New York, NY 10034-1159
- **Phone:** (212) 932-4200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY); The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114557279) · Data from the CMS NPPES public registry.