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MATTHEW J PHILLIPS MD
NPI 1629042239
Orthopaedic Surgery in Buffalo, NY

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
87.31/100
CMS Quality Rating
100 HIGH ST, BUFFALO, NY 14203(716) 829-3670(716) 829-3673 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew J Phillips Md NPPES

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

MATTHEW J PHILLIPS MD (NPI 1629042239) is an individual orthopaedic surgery provider in Buffalo, New York, licensed in New York (202454-1) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (1991).

NPPES Registry Identity

NPI1629042239
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMATTHEW J PHILLIPSCredential: MD
Location Address100 HIGH STBuffalo, NY 14203
Mailing Address4225 Genesee StCheektowaga, NY 14225-1994 · (716) 204-3200 · Fax (716) 204-4337
Phone(716) 829-3670
Fax(716) 829-3673
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1991
Enumeration DateFebruary 13, 2006
Last NPPES UpdateJune 28, 2018
✔ NPI 1629042239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 202454-1
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.
100 HIGH ST, Buffalo, NY 14203
Open in Google Maps ↗

Other Identifiers 1

Medicaid01762041NY

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 J Phillips 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 ID2961499819
PECOS Enrollment IDI20040430000652
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 9

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.

X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
197 services140 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
127 services99 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.
45 services42 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
29 services28 patients
Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
27 services26 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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.

87.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.9
Promoting Interoperability99
Improvement Activities40
Cost79.2

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.

MS. DENISE MARIE DONAHUE NURSE PRACTITIONER
Nurse Practitioner
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
GENERAL PHYSICIAN SUB II PLLC
Specialist
100 HIGH ST, RM C421
BUFFALO, NY 14203
Erie County (716) 859-7607
DR. MATTHEW KYLE MOSER MD
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 218-1000
MIAN MOHAMMAD HAMMAS MD
Hospitalist
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
DR. GUY SHEMESH DUNETZ MD
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
JILL FRASCO DO
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
THOMAS WILLIAM JORDAN D.O.
Emergency Medicine
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-1993
KIM HUBER
Registered Nurse (Registered Nurse First Assistant)
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-2741

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 Phillips's NPI number?

The NPI number for Matthew Phillips is 1629042239. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Matthew Phillips located?

Matthew Phillips practices at 100 High St, Buffalo, NY 14203. The listed phone number is (716) 829-3670.

What is Matthew Phillips's specialty?

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

Is Matthew Phillips enrolled in Medicare?

Yes. Matthew Phillips 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 Phillips affiliated with any hospitals?

According to CMS data, Matthew Phillips is affiliated with Kaleida Health and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Matthew Phillips was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.