MR. MATTHEW ROBERT GLYNN PA-C
NPI 1225508765
Physician Assistant in New York, NY

Q: What is Matthew Glynn's NPI number?

The NPI number for Matthew Glynn is 1225508765. It was assigned to this individual provider in the NPPES registry on November 27, 2018.

Q: What is Matthew Glynn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Glynn was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 27, 2018PECOS Enrolled

589 3RD AVE, NEW YORK, NY 10016(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Jun 6, 2022, Nov 27, 2018 (3 updates tracked since 2018).

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About Mr. Matthew Robert Glynn Pa-c NPPES

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

MR. MATTHEW ROBERT GLYNN PA-C (NPI 1225508765) is an individual physician assistant in New York, New York, licensed in New York (023051) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225508765

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MATTHEW ROBERT GLYNNCredential: PA-C

Location Address589 3RD AVENew York, NY 10016-2711

Mailing Address730 W 183rd St Apt 5hNew York, NY 10033-5205 · (480) 620-5148

Phone(888) 663-6331

Fax(415) 252-7176

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 27, 2018

Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1225508765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 023051

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

589 3RD AVE, New York, NY 10016

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Secondary Practice Location 1

Location 1314 W 14th St Fl 5New York, NY 10014-5002 · Phone (212) 620-0144 · Fax (212) 691-8588

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Matthew Robert Glynn Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234528498

PECOS Enrollment IDI20220409000006

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

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.

17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 9

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

LORRAINE ASHLEY SANASSI RPA-C

Physician Assistant