MATTHEW LEE PICONE MD.
NPI 1346262508
Family Medicine in Fayetteville, NY

Q: What is Matthew Picone's NPI number?

The NPI number for Matthew Picone is 1346262508. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Matthew Picone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Picone was last updated on May 18, 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.

Active since July 24, 2006PECOS Enrolled

4000 MEDICAL CENTER DR SUITE 104, FAYETTEVILLE, NY 13066(315) 663-0059(315) 663-0123 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Matthew Lee Picone Md. NPPES

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

MATTHEW LEE PICONE MD. (NPI 1346262508) is an individual family medicine provider in Fayetteville, New York, licensed in New York (201536) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of New York Medical College (1994).

NPPES Registry Identity

NPI1346262508

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW LEE PICONECredential: MD.

Location Address4000 MEDICAL CENTER DR SUITE 104Fayetteville, NY 13066-6635

Mailing Address5112 West Taft Road, Suite LLiverpool, NY 13088 · (315) 452-2500 · Fax (315) 452-2510

Phone(315) 663-0059

Fax(315) 663-0123

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 1994

Enumeration DateJuly 24, 2006

Last NPPES UpdateMay 18, 2023

NPPES CertifiedMay 8, 2023

✔ NPI 1346262508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 201536

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 201536 (NY)

4000 MEDICAL CENTER DR SUITE 104, Fayetteville, NY 13066

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Other Identifiers 1

Medicaid01789633NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Lee Picone Md. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416973508

PECOS Enrollment IDI20051018000876

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

Medicare enrollment records show Matthew Picone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Josephs Hospital Health Center

6.5 mi

General Acute Care Hospital

301 PROSPECT AVE, ADMINISTRATION
Syracuse, NY 13203

Reassigned Medicare billing, New York enrollment
369 clinicians in this Medicare group

NPI 1508815333 (315) 448-5880

St Josephs Medical PC

8.9 mi

Family Medicine

5100 W TAFT RD
Liverpool, NY 13088

Reassigned Medicare billing, New York enrollment
625 clinicians in this Medicare group

NPI 1942501747 (315) 452-2828

St. Joseph's Physician Health, P.C.

121 mi

Anesthesiology

2215 BURDETT AVE
Troy, NY 12180

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: St Joseph's Physician Health PC
304 clinicians in this Medicare group

NPI 1154376770 (518) 271-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

126 services72 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

101 services65 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 services62 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

72 services57 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

65 services54 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

48 services42 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

41 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

37 services33 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

36 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

32 services13 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

29 services26 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

22 services11 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330140

Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$12.87 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier16 claims16 services$57.32 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers15 claims15 services$196.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

AUSTIN TSAI M.D.

Family Medicine

4000 MEDICAL CENTER DR SUITE 104
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0059

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 Picone's NPI number?

The NPI number for Matthew Picone is 1346262508. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Matthew Picone located?

Matthew Picone practices at 4000 Medical Center Dr Suite 104, Fayetteville, NY 13066. The listed phone number is (315) 663-0059.

What is Matthew Picone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Picone enrolled in Medicare?

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

Which organizations bill Medicare for Matthew Picone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Picone reassigns Medicare benefits to 3 organizations: St Josephs Hospital Health Center (Syracuse, NY), St Josephs Medical PC (Liverpool, NY) and St. Joseph's Physician Health, P.C. (Troy, 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 Picone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matthew Picone affiliated with any hospitals?

According to CMS data, Matthew Picone is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Matthew Picone was last updated on May 18, 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.