MATTHEW DEFAZIO MD
NPI 1699303024
Orthopaedic Surgery in Worcester, MA
About Matthew Defazio Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW DEFAZIO MD (NPI 1699303024) is an individual orthopaedic surgery provider in Worcester, Massachusetts, licensed in Massachusetts (1022482) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Boston University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Defazio 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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Defazio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tufts Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WORCESTER, MA 01605
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 Defazio's NPI number?
The NPI number for Matthew Defazio is 1699303024. It was assigned to this individual provider in the NPPES registry on March 31, 2020.
Where is Matthew Defazio located?
Matthew Defazio practices at 281 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 334-5916.
What is Matthew Defazio's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Matthew Defazio enrolled in Medicare?
Yes. Matthew Defazio 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.
Which organization bills Medicare for Matthew Defazio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Defazio reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Defazio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Defazio accept?
Health plans from Taro Health list Matthew Defazio 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 Defazio affiliated with any hospitals?
According to CMS data, Matthew Defazio is affiliated with Tufts Medical Center.
When was this NPI record last updated?
The NPPES record for Matthew Defazio was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Matthew Defazio, MD · NPI 1699303024
Orthopaedic Surgery physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1699303024 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 1022482 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 281 LINCOLN ST, Worcester, MA 01605-2138
- **Phone:** (508) 334-5916 · **Fax:** (508) 793-6326
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** October 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699303024) · Data from the CMS NPPES public registry.