DR. MATTHEW BUCHALTER MD
NPI 1346264405
Internal Medicine in New York, NY

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
12 W 72ND ST, NEW YORK, NY 10023(646) 962-7800 Get Directions Write a Review

NPPES record last updated: January 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2026, Apr 28, 2021, Apr 1, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Matthew Buchalter Md NPPES

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

DR. MATTHEW BUCHALTER MD (NPI 1346264405) is an individual internal medicine provider in New York, New York, licensed in New York (243956) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and is a graduate of New York University School Of Medicine (2003).

NPPES Registry Identity

NPI1346264405
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MATTHEW BUCHALTERCredential: MD
Location Address12 W 72ND STNew York, NY 10023-4163
Mailing Address12 W 72nd StNew York, NY 10023-4163 · (646) 962-7800
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2003
Enumeration DateJuly 26, 2006
Last NPPES UpdateJanuary 4, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2026
NPI 1346264405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 243956
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12 W 72ND ST, New York, NY 10023

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 Buchalter 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 ID6406851401
PECOS Enrollment IDI20071018000638
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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
447 services447 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.
213 services158 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.
212 services203 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.
119 services91 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10023 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
100%89 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%540 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%33 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%245 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%540 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%286 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
91%504 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%286 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
71%286 patients4/55-star benchmark: 79%
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 14

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

Internal Medicine
12 W 72ND ST
NEW YORK, NY 10023
Pediatrics
12 W 72ND ST
NEW YORK, NY 10023
Obstetrics & Gynecology (Gynecology)
12 W 72ND ST
NEW YORK, NY 10023
Internal Medicine
12 W 72ND ST
NEW YORK, NY 10023
Specialist
12 W 72ND ST, APT. 11B
NEW YORK, NY 10023
Family Medicine
12 W 72ND ST
NEW YORK, NY 10023
Pediatrics
12 W 72ND ST
NEW YORK, NY 10023
Internal Medicine
12 W 72ND ST
NEW YORK, NY 10023

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 Buchalter's NPI number?

The NPI number for Matthew Buchalter is 1346264405. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Matthew Buchalter located?

Matthew Buchalter practices at 12 W 72nd St, New York, NY 10023. The listed phone number is (646) 962-7800.

What is Matthew Buchalter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Matthew Buchalter enrolled in Medicare?

Yes. Matthew Buchalter 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 Buchalter affiliated with any hospitals?

According to CMS data, Matthew Buchalter is affiliated with Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Matthew Buchalter was last updated on January 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.