DR. MATTHEW JAMES WHITSON MD
NPI 1457675423
Internal Medicine in Manhasset, NY

Active since March 19, 2010PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
300 COMMUNITY DRIVE - GASTROENTEROLOGY, 4TH FLOOR, LEVITT BUILDING, MANHASSET, NY 11030(516) 387-3990(516) 387-3930 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Matthew James Whitson Md NPPES

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

DR. MATTHEW JAMES WHITSON MD (NPI 1457675423) is an individual internal medicine provider in Manhasset, New York, licensed in New York (MD453799) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2010).

NPPES Registry Identity

NPI1457675423
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MATTHEW JAMES WHITSONCredential: MD
Location Address300 COMMUNITY DRIVE - GASTROENTEROLOGY, 4TH FLOOR, LEVITT BUILDINGManhasset, NY 11030
Mailing Address300 Community Drive - Gastroenterology, 4th Floor, Levitt BuildingManhasset, NY 11030 · (516) 387-3990 · Fax (516) 387-3930
Fax(516) 387-3930
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2010
Enumeration DateMarch 19, 2010
Last NPPES UpdateSeptember 23, 2016
NPI 1457675423 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 · MD453799
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.

300 COMMUNITY DRIVE - GASTROENTEROLOGY, Manhasset, NY 11030

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 James Whitson 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 ID547549503
PECOS Enrollment IDI20161115000063
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 21

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.

Follow-up hospital inpatient care per day, typically 25 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.
83 services61 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
68 services52 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
59 services53 patients
Initial hospital inpatient care per day, typically 70 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.
59 services59 patients
Study of esophagus to assess movement 91010
This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.
41 services39 patients
Monitoring and recording of esophageal function through nasal tube with electrode 91037
This procedure involves placing a thin tube with an electrode through your nose and into your esophagus. It helps to monitor and record the function of your esophagus, aiding in diagnosing any potential issues.
41 services39 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Whitson's NPI number?

The NPI number for Matthew Whitson is 1457675423. It was assigned to this individual provider in the NPPES registry on March 19, 2010.

Where is Matthew Whitson located?

Matthew Whitson practices at 300 Community Drive - Gastroenterology 4th Floor, Levitt Building, Manhasset, NY 11030. The listed phone number is (516) 387-3990.

What is Matthew Whitson's specialty?

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

Is Matthew Whitson enrolled in Medicare?

Yes. Matthew Whitson 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 Whitson affiliated with any hospitals?

According to CMS data, Matthew Whitson is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Whitson was last updated on September 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.