CONNOR MATTHEW DEARBORN
NPI 1780256230
Physician Assistant in New York, NY

Active since July 14, 2021PECOS EnrolledAccepts Medicare Assignment
82.02/100
CMS Quality Rating
163 WILLIAM ST FL 5, NEW YORK, NY 10038(212) 618-6052 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2021, Jul 14, 2021 (2 updates tracked since 2021).

About Connor Matthew Dearborn NPPES

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

CONNOR MATTHEW DEARBORN (NPI 1780256230) is an individual physician assistant in New York, New York and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780256230
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCONNOR MATTHEW DEARBORN
Location Address163 WILLIAM ST FL 5New York, NY 10038-2613
Mailing Address163 William St Fl 5New York, NY 10038-2613 · (212) 618-6052
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 14, 2021
Last NPPES UpdateOctober 19, 20212 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
NPI 1780256230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
163 WILLIAM ST FL 5, New York, NY 10038

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

Connor Matthew Dearborn 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 ID6901297795
PECOS Enrollment IDI20220105002596
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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10038 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

82.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.49
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Physician Assistant
163 WILLIAM ST FL 5
NEW YORK, NY 10038
Student in an Organized Health Care Education/Training Program
163 WILLIAM ST FL 5
NEW YORK, NY 10038
Physician Assistant
163 WILLIAM ST FL 5
NEW YORK, NY 10038
Physician Assistant
163 WILLIAM ST FL 5
NEW YORK, NY 10038
Physician Assistant
163 WILLIAM ST FL 5
NEW YORK, NY 10038
Physician Assistant (Medical)
163 WILLIAM ST FL 5
NEW YORK, NY 10038
Physician Assistant
163 WILLIAM ST FL 5
NEW YORK, NY 10038
Physician Assistant
163 WILLIAM ST FL 5
NEW YORK, NY 10038

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 Connor Dearborn's NPI number?

The NPI number for Connor Dearborn is 1780256230. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Connor Dearborn located?

Connor Dearborn practices at 163 William St Fl 5, New York, NY 10038. The listed phone number is (212) 618-6052.

What is Connor Dearborn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Connor Dearborn enrolled in Medicare?

Yes. Connor Dearborn 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 Connor Dearborn affiliated with any hospitals?

According to CMS data, Connor Dearborn is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Connor Dearborn was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.