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ROBERT MATERA MD
NPI 1366971640
Internal Medicine - Hematology & Oncology in New Haven, CT

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2024, Apr 16, 2024, Jun 24, 2021 and 2 more (5 updates tracked since 2017).

About Robert Matera Md NPPES

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

ROBERT MATERA MD (NPI 1366971640) is an individual hematology & oncology provider in New Haven, Connecticut, licensed in Connecticut (1.067346) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2017).

NPPES Registry Identity

NPI1366971640
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameROBERT MATERACredential: MD
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address333 Cedar St, Www 205New Haven, CT 06510 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2017
Enumeration DateJune 8, 2017
Last NPPES UpdateJune 11, 20245 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1366971640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CT · 1.067346
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 67346 (CT), MD16995 (RI), LP03957 (RI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20 YORK ST, New Haven, CT 06510
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Matera 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 ID1355610718
PECOS Enrollment IDI20240820001339
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

5

Medicare enrollment records show Robert Matera reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mill Hill Medical Consultants Inc
Same address
Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
NPI 1952624769 (203) 688-4741
Yale University
0.4 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432
Yale New Haven Hospital
0.7 mi
General Acute Care Hospital
20 YORK ST
New Haven, CT 06504
  • Reassigned Medicare billing, Connecticut enrollment
  • 130 clinicians in this Medicare group
NPI 1336139500 (203) 688-2046
Greenwich Hospital
41 mi
General Acute Care Hospital
5 PERRYRIDGE RD
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • 268 clinicians in this Medicare group
NPI 1609846088 (203) 863-3000
Lifespan Physician Group, Inc.
85 mi
Surgery
2 DUDLEY ST STE 470
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1174484216 (401) 272-1800

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 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.

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.
18 services12 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.
16 services12 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
BERNADETTE BIMONTE-HACKETT LCSW
Social Worker (Clinical)
20 YORK ST, SOCIAL WORK EP10-635
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5161

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 Robert Matera's NPI number?

The NPI number for Robert Matera is 1366971640. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Robert Matera located?

Robert Matera practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Robert Matera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Robert Matera enrolled in Medicare?

Yes. Robert Matera 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.

Which organizations bill Medicare for Robert Matera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Matera reassigns Medicare benefits to 5 organizations: Mill Hill Medical Consultants Inc (New Haven, CT), Yale University (New Haven, CT), Yale New Haven Hospital (New Haven, CT), Greenwich Hospital (Greenwich, CT) and Lifespan Physician Group, Inc. (Providence, RI). 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 Robert Matera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Matera accept?

Health plans from Anthem Blue Cross and Blue Shield list Robert Matera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Matera was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.