MATTHEW J ANDERSON M.D.
NPI 1245458454
Emergency Medicine in New York, NY

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
130 E 77TH ST, DEPT OF EMERGENCY MEDICINE, NEW YORK, NY 10075(212) 434-3042 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2023, Feb 29, 2016 (2 updates tracked since 2016).

About Matthew J Anderson M.d. NPPES

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

MATTHEW J ANDERSON M.D. (NPI 1245458454) is an individual emergency medicine provider in New York, New York, licensed in New York (60 252700) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Northwestern University Feinberg Medical School (2005).

NPPES Registry Identity

NPI1245458454
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW J ANDERSONCredential: M.D.
Location Address130 E 77TH ST, DEPT OF EMERGENCY MEDICINENew York, NY 10075
Mailing Address2800 Marcus Ave, Dept Of Emergency MedicineNew Hyde Park, NY 11042-1113 · (773) 296-5878
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2005
Enumeration DateApril 23, 2007
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1245458454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NY · 60 252700 Licensed in IL · 036119361
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
130 E 77TH ST, New York, NY 10075

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

Matthew J Anderson 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 ID8426103789
PECOS Enrollment IDI20090910000204
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
91 services91 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
58 services57 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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
$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.

Internal Medicine
130 E 77TH ST, 9TH FLOOR BLACK HALL
NEW YORK, NY 10075
Psychiatry & Neurology (Neuromuscular Medicine)
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Surgery (Vascular Surgery)
130 E 77TH ST, 13TH FLOOR
NEW YORK, NY 10075
Pediatrics
130 E 77TH ST, DEPARTMENT OF PEDIATRICS, LENOX HILL HOSPITAL
NEW YORK, NY 10075
Speech-Language Pathologist
130 E 77TH ST, 10TH FLOOR, NYHNI
NEW YORK, NY 10075

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 Anderson's NPI number?

The NPI number for Matthew Anderson is 1245458454. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Matthew Anderson located?

Matthew Anderson practices at 130 E 77th St Dept Of Emergency Medicine, New York, NY 10075. The listed phone number is (212) 434-3042.

What is Matthew Anderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Anderson enrolled in Medicare?

Yes. Matthew Anderson 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 Anderson affiliated with any hospitals?

According to CMS data, Matthew Anderson is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Anderson was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.