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MR. MATTHEW A PRIVETT FNP
NPI 1285270645
Nurse Practitioner - Family in Brockport, NY

Active since November 20, 2019PECOS Enrolled
281 ROOT RD, BROCKPORT, NY 14420(585) 395-9158 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2020, Nov 20, 2019 (2 updates tracked since 2019).

About Mr. Matthew A Privett Fnp NPPES

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

MR. MATTHEW A PRIVETT FNP (NPI 1285270645) is an individual family provider in Brockport, New York, licensed in New York (F346519) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285270645
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MATTHEW A PRIVETTCredential: FNP
Location Address281 ROOT RDBrockport, NY 14420-9730
Mailing Address281 Root RdBrockport, NY 14420-9730 · (585) 395-9158
Phone(585) 395-9158
Sole ProprietorYes
Enumeration DateNovember 20, 2019
Last NPPES UpdateSeptember 21, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2020
✔ NPI 1285270645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F346519
Also ListedRegistered NurseTaxonomy 163W00000X · License 485518-1 (NY)
281 ROOT RD, Brockport, NY 14420
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Matthew A Privett Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Privett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Orchard Community Health Center Inc.
5.1 mi
Federally Qualified Health Center (FQHC)
300 WEST AVE
Brockport, NY 14420
  • Reassigned Medicare billing, New York enrollment
  • 57 clinicians in this Medicare group
NPI 1598707812 (585) 637-3905
Finger Lakes Community Health
43 mi
Federally Qualified Health Center (FQHC)
6341 RIDGE RD
Sodus, NY 14551
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group
NPI 1669568465 (315) 531-9102

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 14420 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Privett's NPI number?

The NPI number for Matthew Privett is 1285270645. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Matthew Privett located?

Matthew Privett practices at 281 Root Rd, Brockport, NY 14420. The listed phone number is (585) 395-9158.

What is Matthew Privett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Privett enrolled in Medicare?

Yes. Matthew Privett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Privett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Privett reassigns Medicare benefits to 2 organizations: Oak Orchard Community Health Center Inc. (Brockport, NY) and Finger Lakes Community Health (Sodus, NY). 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 Privett'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 Privett was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.