MATTHEW DONALD BUSH M.D.
NPI 1467476226
Orthopaedic Surgery in Biddeford, ME

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
46 BARRA RD STE 103, BIDDEFORD, ME 04005(207) 283-1126 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2021, Jan 6, 2021, Sep 18, 2018 (3 updates tracked since 2018).

About Matthew Donald Bush M.d. NPPES

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

MATTHEW DONALD BUSH M.D. (NPI 1467476226) is an individual orthopaedic surgery provider in Biddeford, Maine, licensed in Maine (MD17164) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Auburn.

NPPES Registry Identity

NPI1467476226
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMATTHEW DONALD BUSHCredential: M.D.
Location Address46 BARRA RD STE 103Biddeford, ME 04005-9461
Mailing Address1 Medical Center DrBiddeford, ME 04005-9422
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2000
Enumeration DateJuly 26, 2006
Last NPPES UpdateMarch 1, 20213 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
NPI 1467476226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in ME · MD17164
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License MD17164 (ME)
46 BARRA RD STE 103, Biddeford, ME 04005

Secondary Practice Location 1

Location 1690 Minot Ave, Suite OneAuburn, ME 04210-3922 · Phone (207) 783-1328 · Fax (207) 795-0260

Other Identifiers 12

Other100522Anthem
Other201017Asc Facility
Other432322499ME · Mainecare
OtherAA67813Harvard Pilgrim
Other100294000Usps Wc
OtherMM0716Clinic Facility
Other010416156Core / Mednet / Travelers
OtherBU-ME2088Cms Provider Identification Number
OtherME2088Medicare
Other0378600001Dmerc
Other0526606Cigna / Great West
Other128943Aetna

Accepted Insurance

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

Matthew Donald Bush 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 ID9335144856
PECOS Enrollment IDI20060915000320
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 15

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 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.
164 services145 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
145 services108 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
116 services116 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
89 services75 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.
68 services67 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
59 services40 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers11 claims11 services$49.91 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 9

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

Physician Assistant (Surgical)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
Family Medicine (Sports Medicine)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
Physician Assistant (Surgical)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
Orthopaedic Surgery
46 BARRA RD STE 103
BIDDEFORD, ME 04005
Physician Assistant (Surgical)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
Specialist/Technologist (Athletic Trainer)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
Physician Assistant (Surgical)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
Orthopaedic Surgery (Foot and Ankle Surgery)
46 BARRA RD STE 103
BIDDEFORD, ME 04005

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 Bush's NPI number?

The NPI number for Matthew Bush is 1467476226. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Matthew Bush located?

Matthew Bush practices at 46 Barra Rd Ste 103, Biddeford, ME 04005. The listed phone number is (207) 283-1126.

What is Matthew Bush's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matthew Bush enrolled in Medicare?

Yes. Matthew Bush 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.

What insurance does Matthew Bush accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Matthew Bush 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 Bush affiliated with any hospitals?

According to CMS data, Matthew Bush is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Bush was last updated on March 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.