DR. MATTHEW HENRY ROSA MD
NPI 1780893792
Psychiatry & Neurology - Psychiatry in Fayetteville, NY

Active since May 22, 2007Opted out of Medicare · through Jan 23, 2027
7030 E GENESEE ST, SUITE 109, FAYETTEVILLE, NY 13066(315) 510-6760(315) 446-7521 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew Henry Rosa Md NPPES

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

DR. MATTHEW HENRY ROSA MD (NPI 1780893792) is an individual psychiatry provider in Fayetteville, New York, licensed in New York (243698-1) and active in the NPI registry since May 2007. He has opted out of Medicare through January 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780893792
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MATTHEW HENRY ROSACredential: MD
Location Address7030 E GENESEE ST, SUITE 109Fayetteville, NY 13066-1121
Mailing Address7030 E Genesee St, Suite 109Fayetteville, NY 13066-1121 · (315) 510-6760 · Fax (315) 446-7521
Fax(315) 446-7521
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 21, 2014
NPI 1780893792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in NY · 243698-1 Licensed in NC · 2005-01928
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

7030 E GENESEE ST, Fayetteville, NY 13066

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Matthew Henry Rosa Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 23, 2017 through January 23, 2027.

Opt-Out Effective DateJanuary 23, 2017
Opt-Out In Effect ThroughJanuary 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Clinic/Center (Mental Health (Including Community Mental Health Center))
7030 E GENESEE ST, SUITE 109
FAYETTEVILLE, NY 13066
Psychiatry & Neurology (Child & Adolescent Psychiatry)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Psychologist
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Psychologist (Clinical)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Marriage & Family Therapist
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Speech-Language Pathologist
7030 E GENESEE ST, THE WHITE HOUSE PROFESSIONAL OFFICES
FAYETTEVILLE, NY 13066
Counselor (Mental Health)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066

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 Rosa's NPI number?

The NPI number for Matthew Rosa is 1780893792. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Matthew Rosa located?

Matthew Rosa practices at 7030 E Genesee St Suite 109, Fayetteville, NY 13066. The listed phone number is (315) 510-6760.

What is Matthew Rosa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Matthew Rosa enrolled in Medicare?

No. Matthew Rosa has opted out of Medicare through January 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Matthew Rosa was last updated on August 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.