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DR. MATTHEW PLUCINSKI M.D.
NPI 1376836346
Family Medicine in Hamburg, NY

Active since May 24, 2011PECOS EnrolledAccepts Medicare Assignment
4855 CAMP RD, SUITE #100, HAMBURG, NY 14075(716) 646-1084 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Matthew Plucinski M.d. NPPES

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

DR. MATTHEW PLUCINSKI M.D. (NPI 1376836346) is an individual family medicine provider in Hamburg, New York, licensed in New York (276338) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376836346
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW PLUCINSKICredential: M.D.
Location Address4855 CAMP RD, SUITE #100Hamburg, NY 14075-2600
Mailing Address4855 Camp Rd, Suite 100Hamburg, NY 14075-2600 · (716) 646-1084 · Fax (716) 646-0763
Phone(716) 646-1084
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 24, 2011
Last NPPES UpdateFebruary 20, 2015
✔ NPI 1376836346 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 · 276338
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4855 CAMP RD, Hamburg, NY 14075
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Other Identifiers 1

Medicare PINJ400174104NY

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

Dr. Matthew Plucinski 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 ID2365664265
PECOS Enrollment IDI20141110000280
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 Matthew Plucinski reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Hospital Of Buffalo
6.8 mi
Skilled Nursing Facility
565 ABBOTT RD
Buffalo, NY 14220
  • Reassigned Medicare billing, New York enrollment
  • 499 clinicians in this Medicare group
NPI 1144262908 (716) 826-7000
Kaleida Health
10 mi
Diagnostic Radiology
100 HIGH ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1427870070 (716) 859-7200
Buffalo-Niagara Hospitalists LLC
15 mi
Hospitalist
2950 ELMWOOD AVE
Kenmore, NY 14217
  • Reassigned Medicare billing, New York enrollment
  • 38 clinicians in this Medicare group
NPI 1871830208 (716) 447-6100
Infinity Medical Of Wny PC
18 mi
Hospitalist
1540 MAPLE RD
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 104 clinicians in this Medicare group
NPI 1568883080 (716) 568-3600
Infinity Medical Group P.C.
20 mi
Internal Medicine
275 NORTHPOINTE PKWY, SUITE 50
Amherst, NY 14228
  • Reassigned Medicare billing, New York enrollment
  • 106 clinicians in this Medicare group
NPI 1841648011 (716) 834-1191

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
160 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
93 services92 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.
53 services44 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.
42 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14075 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.

Other Providers at the Same Location NPPES 19

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

MRS. ERIN E AMBORSKI PA
Physician Assistant
4855 CAMP RD, STE 100
HAMBURG, NY 14075
Erie County (716) 646-1084
JANELE LUCY STORMS NP
Nurse Practitioner (Family)
4855 CAMP RD, STE 100
HAMBURG, NY 14075
Erie County (716) 646-1084
LAKESHORE PRIMARY CARE ASSOCIATES LLP
Family Medicine
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Erie County (716) 646-1084
DR. AMY W JONES M.D.
Internal Medicine
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Erie County (716) 646-1084
NANCY SABATINI LMHC
Counselor (Mental Health)
4855 CAMP RD, SUITE 400
HAMBURG, NY 14075
Erie County (716) 870-0268
MS. SARA MARIA BURGIO CNP
Nurse Practitioner (Family)
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Erie County (716) 646-1084
MRS. KATHLEEN E SCHIELE PHYSICIAN ASSISTANT
Physician Assistant
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Erie County (716) 646-1084
DR. HEATHER JANIK MD
Emergency Medicine
4855 CAMP RD, STE 100
HAMBURG, NY 14075
Erie County (716) 646-1084

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 Plucinski's NPI number?

The NPI number for Matthew Plucinski is 1376836346. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Where is Matthew Plucinski located?

Matthew Plucinski practices at 4855 Camp Rd Suite #100, Hamburg, NY 14075. The listed phone number is (716) 646-1084.

What is Matthew Plucinski's specialty?

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

Is Matthew Plucinski enrolled in Medicare?

Yes. Matthew Plucinski 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 Matthew Plucinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Plucinski reassigns Medicare benefits to 5 organizations: Mercy Hospital Of Buffalo (Buffalo, NY), Kaleida Health (Buffalo, NY), Buffalo-Niagara Hospitalists LLC (Kenmore, NY), Infinity Medical Of Wny PC (Williamsville, NY) and Infinity Medical Group P.C. (Amherst, 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 Plucinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Plucinski accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew Plucinski 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.

Is Matthew Plucinski affiliated with any hospitals?

According to CMS data, Matthew Plucinski is affiliated with Sisters Of Charity Hospital, Kenmore Mercy Hospital and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Matthew Plucinski was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.