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DR. MATTHEW G CLARKE M.D.
NPI 1497912877
Orthopaedic Surgery in Miami, FL

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11760 BIRD RD, SUITE 722, MIAMI, FL 33175(305) 559-1883 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew G Clarke M.d. NPPES

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

DR. MATTHEW G CLARKE M.D. (NPI 1497912877) is an individual orthopaedic surgery provider in Miami, Florida, licensed in Florida (ME108928) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Kendall Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2004).

NPPES Registry Identity

NPI1497912877
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MATTHEW G CLARKECredential: M.D.
Location Address11760 BIRD RD, SUITE 722Miami, FL 33175-3582
Mailing Address11760 Bird Rd, Suite 722Miami, FL 33175-3582 · (305) 559-1883
Phone(305) 559-1883
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2004
Enumeration DateMay 21, 2008
Last NPPES UpdateJune 15, 2012
✔ NPI 1497912877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME108928
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.
11760 BIRD RD, Miami, FL 33175
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Matthew G Clarke 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 ID5294997276
PECOS Enrollment IDI20120509000255
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 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.

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.
24 services24 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.
16 services16 patients
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.
15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100209
Location11750 Bird RdMiami, FL 33175 · Miami-Dade County
Emergency services Birthing friendly

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%29 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%27 patients
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.

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, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf L3916
DME-Orthotic Devices · category DF000N
5 suppliers12 claims20 services$397.77 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 20

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

FXM RESEARCH INTERNATIONAL, INC
Clinic/Center (Research)
11760 BIRD RD, SUITE 452
MIAMI, FL 33175
Miami-Dade County (305) 220-5222
BERNARDO R GARCIA-GRANDA MD PA
Psychiatry & Neurology (Psychiatry)
11760 BIRD RD, SUITE 539
MIAMI, FL 33175
Miami-Dade County (305) 228-6200
WALTER RAMIREZ MD PA
Internal Medicine (Interventional Cardiology)
11760 BIRD RD, SUITE 622A
MIAMI, FL 33175
Miami-Dade County (305) 559-9860
GASTROINTESTINAL SPECIALISTS OF MIAMI INC
Internal Medicine (Gastroenterology)
11760 BIRD RD, SUITE 642
MIAMI, FL 33175
Miami-Dade County (305) 223-5858
MR. ERIC W BUSSEAR P.A.
Physician Assistant
11760 BIRD RD, SUITE 451
MIAMI, FL 33175
Miami-Dade County (305) 227-9233
PABLO J ACEBAL MD PA
Preferred Provider Organization
11760 BIRD RD, 606
MIAMI, FL 33175
Miami-Dade County (305) 273-3355
DR. LEONCIO V GONZALEZ OD
Optometrist
11760 BIRD RD, SUITE 101
MIAMI, FL 33175
Miami-Dade County (305) 220-8333
YANETTE BARCELO PA
Physician Assistant
11760 BIRD RD, SUITE 451
MIAMI, FL 33175
Miami-Dade County (305) 227-9233

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 Clarke's NPI number?

The NPI number for Matthew Clarke is 1497912877. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Matthew Clarke located?

Matthew Clarke practices at 11760 Bird Rd Suite 722, Miami, FL 33175. The listed phone number is (305) 559-1883.

What is Matthew Clarke's specialty?

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

Is Matthew Clarke enrolled in Medicare?

Yes. Matthew Clarke 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 Clarke accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Matthew Clarke 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 Clarke affiliated with any hospitals?

According to CMS data, Matthew Clarke is affiliated with Hca Florida Kendall Hospital, West Kendall Baptist Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Clarke was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.