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DR. MATTHEW TODD ANDERSON M.D.
NPI 1528155199
Surgery in Glens Falls, NY

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
93.92/100
CMS Quality Rating
14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801(518) 926-5600(518) 926-5605 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew Todd Anderson M.d. NPPES

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

DR. MATTHEW TODD ANDERSON M.D. (NPI 1528155199) is an individual surgery provider in Glens Falls, New York, licensed in New York (217507) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of University Of North Dakota School Of Medicine (1995).

NPPES Registry Identity

NPI1528155199
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MATTHEW TODD ANDERSONCredential: M.D.
Location Address14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITALGlens Falls, NY 12801-4448
Mailing Address100 Park Street, Glens Falls Hospital - CredentialingGlens Falls, NY 12801-4413 · (518) 926-5925 · Fax (518) 926-6983
Phone(518) 926-5600
Fax(518) 926-5605
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1995
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1528155199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 217507
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
14 HUDSON AVE, Glens Falls, NY 12801
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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 Todd Anderson 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 ID1951379759
PECOS Enrollment IDI20040920000961
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 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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
69 services36 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.
34 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 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.
19 services15 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

93.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.28
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

DR. DEREK FRIEDMAN MD
Urology
14 HUDSON AVE
GLENS FALLS, NY 12801
Warren County (518) 926-5600
MICHELE AMADO PA
Physician Assistant (Surgical)
14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Warren County (518) 926-5600
DR. ADAM BROD MD
Orthopaedic Surgery (Hand Surgery)
14 HUDSON AVE
GLENS FALLS, NY 12801
Warren County (518) 489-2663
HEATHER OXBERRY FNP-C
Nurse Practitioner (Family)
14 HUDSON AVE
GLENS FALLS, NY 12801
Warren County (518) 489-2663
ELIZABETH A ROGAN PA
Physician Assistant (Surgical)
14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Warren County (518) 926-5600
MICHAEL CONNOR SHIELDS
Surgery
14 HUDSON AVE
GLENS FALLS, NY 12801
Warren County (518) 926-1000
DR. UTSAV HANSPAL MD
Family Medicine (Sports Medicine)
14 HUDSON AVE
GLENS FALLS, NY 12801
Warren County (518) 489-2663
DR. MICHAEL THOMAS LIEBERTH MD
Surgery
14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Warren County (518) 926-5600

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 Anderson's NPI number?

The NPI number for Matthew Anderson is 1528155199. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Matthew Anderson located?

Matthew Anderson practices at 14 Hudson Ave Surgical Specialists Of Glens Falls Hospital, Glens Falls, NY 12801. The listed phone number is (518) 926-5600.

What is Matthew Anderson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Anderson enrolled in Medicare?

Yes. Matthew Anderson 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 Anderson affiliated with any hospitals?

According to CMS data, Matthew Anderson is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Anderson was last updated on March 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.