DR. MATTHEW ERIC KRUPNICK M.D.
NPI 1629005566
Internal Medicine - Gastroenterology in Dover, NJ

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
369 W BLACKWELL ST, DOVER, NJ 07801(973) 361-7660(973) 361-0455 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Eric Krupnick M.d. NPPES

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

DR. MATTHEW ERIC KRUPNICK M.D. (NPI 1629005566) is an individual gastroenterology provider in Dover, New Jersey, licensed in New Jersey (25MA06215600) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1990).

NPPES Registry Identity

NPI1629005566
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MATTHEW ERIC KRUPNICKCredential: M.D.
Location Address369 W BLACKWELL STDover, NJ 07801-2560
Mailing Address369 W Blackwell StDover, NJ 07801-2560 · (973) 361-7660 · Fax (973) 361-0455
Fax(973) 361-0455
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1990
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1629005566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NJ · 25MA06215600
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
369 W BLACKWELL ST, Dover, NJ 07801

Other Identifiers 2

Medicare UPING04811NJ
Medicaid6694101NJ

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 Eric Krupnick 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 ID749283406
PECOS Enrollment IDI20101206000834
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 14

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.
430 services255 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.
231 services93 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
184 services140 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.
128 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.
112 services112 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
87 services87 patients

Hospital Affiliations CMS Care Compare 3

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07801 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 12

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

Pediatrics
369 W BLACKWELL ST
DOVER, NJ 07801
Obstetrics & Gynecology
369 W BLACKWELL ST
DOVER, NJ 07801
Pediatrics
369 W BLACKWELL ST
DOVER, NJ 07801
Internal Medicine (Gastroenterology)
369 W BLACKWELL ST
DOVER, NJ 07801
Family Medicine
369 W BLACKWELL ST, UNIT 1
DOVER, NJ 07801
Psychiatry & Neurology (Neurology)
369 W BLACKWELL ST
DOVER, NJ 07801
Internal Medicine (Gastroenterology)
369 W BLACKWELL ST
DOVER, NJ 07801
Pediatrics
369 W BLACKWELL ST
DOVER, NJ 07801

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 Krupnick's NPI number?

The NPI number for Matthew Krupnick is 1629005566. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Matthew Krupnick located?

Matthew Krupnick practices at 369 W Blackwell St, Dover, NJ 07801. The listed phone number is (973) 361-7660.

What is Matthew Krupnick's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Matthew Krupnick enrolled in Medicare?

Yes. Matthew Krupnick 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 Krupnick affiliated with any hospitals?

According to CMS data, Matthew Krupnick is affiliated with Morristown Medical Center, Newton Medical Center and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Matthew Krupnick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.