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DR. MATTHEW JAMES DIPAOLA M.D.
NPI 1235255167
Orthopaedic Surgery in Amherst, NY

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
94.31/100
CMS Quality Rating
4949 HARLEM RD, AMHERST, NY 14226(716) 204-3200 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew James Dipaola M.d. NPPES

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

DR. MATTHEW JAMES DIPAOLA M.D. (NPI 1235255167) is an individual orthopaedic surgery provider in Amherst, New York, licensed in Ohio (35-094128) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Js Weill Medical College, Cornell University (2003).

NPPES Registry Identity

NPI1235255167
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MATTHEW JAMES DIPAOLACredential: M.D.
Location Address4949 HARLEM RDAmherst, NY 14226-2500
Mailing Address4225 Genesee StCheektowaga, NY 14225-1994 · (716) 906-5908 · Fax (716) 204-4061
Phone(716) 204-3200
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2003
Enumeration DateMarch 22, 2007
Last NPPES UpdateJanuary 4, 2017
✔ NPI 1235255167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in OH · 35-094128✔ Licensed in NY · 249572-1✔ Licensed in PA · MD430230
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License MD430230 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MD430230 (PA)
4949 HARLEM RD, Amherst, NY 14226
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Other Identifiers 4

Medicaid2992098OH
Medicaid01750783NY
Medicare PINJ400301251NY
Medicare PINDI4275131OH

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 James Dipaola 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 ID2365589504
PECOS Enrollment IDI20160608001594
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 6

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
210 services18 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
91 services62 patients
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.
76 services55 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.
32 services30 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.
15 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Niagara Falls Memorial Medical Center

Acute Care Hospitals · Niagara Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330065
Location621 Tenth StreetNiagara Falls, NY 14302 · Niagara County
Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

94.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost68.86

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.

DENARDIN FAMILY PRACTICE PLLC
Family Medicine
4949 HARLEM RD
AMHERST, NY 14226
Erie County (716) 839-1690
JEREMY PAUL DOAK M.D.
Orthopaedic Surgery
4949 HARLEM RD
AMHERST, NY 14226
Erie County (716) 204-3251
SHELBY S. EDWARDS PA-C
Physician Assistant
4949 HARLEM RD, SUITE 203
AMHERST, NY 14226
Erie County (716) 204-3251
CHRISTINE A EHRENSBERGER RPA-C
Physician Assistant (Surgical)
4949 HARLEM RD
AMHERST, NY 14226
Erie County (716) 204-3201
MICHAEL FERRICK MD
Orthopaedic Surgery
4949 HARLEM RD
AMHERST, NY 14226
Erie County (716) 204-3251
LESLIE J BISSON M.D.
Specialist
4949 HARLEM RD
AMHERST, NY 14226
Erie County (716) 312-4684
MARC S FINEBERG MD
Orthopaedic Surgery
4949 HARLEM RD, 2ND FLOOR
AMHERST, NY 14226
Erie County (716) 204-3257
MRS. LISA SUZANNE LEWIS RPAC
Physician Assistant (Medical)
4949 HARLEM RD, UNIVERSITY ORTHOPAEDICS
AMHERST, NY 14226
Erie County (716) 204-3251

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 Dipaola's NPI number?

The NPI number for Matthew Dipaola is 1235255167. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Matthew Dipaola located?

Matthew Dipaola practices at 4949 Harlem Rd, Amherst, NY 14226. The listed phone number is (716) 204-3200.

What is Matthew Dipaola's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matthew Dipaola enrolled in Medicare?

Yes. Matthew Dipaola 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 Dipaola affiliated with any hospitals?

According to CMS data, Matthew Dipaola is affiliated with Kaleida Health, Niagara Falls Memorial Medical Center and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Matthew Dipaola was last updated on January 4, 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.