DR. MATTHEW T WITMER MD
NPI 1235321167
Ophthalmology - Retina Specialist in Rochester, NY

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
97.78/100
CMS Quality Rating
160 SAWGRASS DR, SUITE 200, ROCHESTER, NY 14620(585) 442-3411(585) 340-3747 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2026, Jul 11, 2017, Jan 10, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Matthew T Witmer Md NPPES

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

DR. MATTHEW T WITMER MD (NPI 1235321167) is an individual retina specialist in Rochester, New York, licensed in New York (261709) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Virginia School Of Medicine (2007).

NPPES Registry Identity

NPI1235321167
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. MATTHEW T WITMERCredential: MD
Location Address160 SAWGRASS DR, SUITE 200Rochester, NY 14620-4656
Mailing Address160 Sawgrass Dr, Suite 200Rochester, NY 14620-4656 · (585) 442-3411 · Fax (585) 340-3747
Fax(585) 340-3747
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2007
Enumeration DateAugust 14, 2007
Last NPPES UpdateApril 9, 20264 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1235321167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in NY · 261709
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 261709 (NY)
160 SAWGRASS DR, Rochester, NY 14620

Secondary Practice Locations 2

Location 13345 Chambers Rd Ste 11Horseheads, NY 14845-1441 · Phone (585) 442-3411 · Fax (585) 442-9550
Location 232 N Main StCanandaigua, NY 14424-1402 · Phone (585) 442-3411 · Fax (585) 442-9550

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 T Witmer Md 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 ID6204005572
PECOS Enrollment IDI20110803000670
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 13

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
5,280 services15 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
754 services82 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
696 services300 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
526 services134 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
322 services239 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
86 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

97.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%49 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Ophthalmology (Retina Specialist)
160 SAWGRASS DR, SUITE 200
ROCHESTER, NY 14620
Ophthalmology (Retina Specialist)
160 SAWGRASS DR, SUITE 200
ROCHESTER, NY 14620
Ophthalmology
160 SAWGRASS DR, STE 220
ROCHESTER, NY 14620
Eyewear Supplier
160 SAWGRASS DR, STE 220
ROCHESTER, NY 14620
Ophthalmology
160 SAWGRASS DR, STE 220
ROCHESTER, NY 14620
Nurse Practitioner (Family)
160 SAWGRASS DR
ROCHESTER, NY 14620
Nurse Practitioner (Family)
160 SAWGRASS DR
ROCHESTER, NY 14620

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 Witmer's NPI number?

The NPI number for Matthew Witmer is 1235321167. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Matthew Witmer located?

Matthew Witmer practices at 160 Sawgrass Dr Suite 200, Rochester, NY 14620. The listed phone number is (585) 442-3411.

What is Matthew Witmer's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Matthew Witmer enrolled in Medicare?

Yes. Matthew Witmer 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 Witmer was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.