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MATTHEW DEAN MAYNARD DO
NPI 1790079499
Emergency Medicine in Watertown, NY

Active since May 31, 2011PECOS EnrolledAccepts Medicare Assignment
830 WASHINGTON ST, WATERTOWN, NY 13601(315) 786-4813 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Dean Maynard Do NPPES

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

MATTHEW DEAN MAYNARD DO (NPI 1790079499) is an individual emergency medicine provider in Watertown, New York, licensed in New York (269418) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790079499
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW DEAN MAYNARDCredential: DO
Location Address830 WASHINGTON STWatertown, NY 13601-4034
Mailing Address830 Washington StWatertown, NY 13601-4034 · (315) 779-5244
Phone(315) 786-4813
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 31, 2011
Last NPPES UpdateMarch 26, 2018
✔ NPI 1790079499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 269418
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
830 WASHINGTON ST, Watertown, NY 13601
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Other Identifiers 1

Medicaid03983768NY

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 Dean Maynard Do 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 ID3577788371
PECOS Enrollment IDI20140711001030
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Maynard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Samaritan Medical Center
Same address
Rehabilitation Unit
830 WASHINGTON ST
Watertown, NY 13601
  • Reassigned Medicare billing, New York enrollment
  • 183 clinicians in this Medicare group
NPI 1093722068 (315) 786-4800
River Hospital, Inc.
26 mi
Critical Access
4 FULLER ST
Alexandria Bay, NY 13607
  • Reassigned Medicare billing, New York enrollment
  • 89 clinicians in this Medicare group
NPI 1003814641 (315) 482-2511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
118 services113 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
110 services104 patients
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.
43 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services24 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

JIN JU YI
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-7300
DR. APARANJI PALLAVI BALABHADRAPATRUNI MD
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-7300
DEANNA HIRSCHEY PT
Physical Therapist
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4088
JEFFREY CLINTON KRAUSS PA
Physician Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-4813
TINA LIVINGSTON PTA
Physical Therapy Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4088
ANDREA MARY FAVRET RPH
Pharmacist
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4063
MS. EMILY MARIE RICHARDS CRNA
Nurse Anesthetist, Certified Registered
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4313
DR. SHRIPAD BRAHMANAND PANDE MD
Internal Medicine
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4000

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 Maynard's NPI number?

The NPI number for Matthew Maynard is 1790079499. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Matthew Maynard located?

Matthew Maynard practices at 830 Washington St, Watertown, NY 13601. The listed phone number is (315) 786-4813.

What is Matthew Maynard's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Maynard enrolled in Medicare?

Yes. Matthew Maynard 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 organizations bill Medicare for Matthew Maynard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Maynard reassigns Medicare benefits to 2 organizations: Samaritan Medical Center (Watertown, NY) and River Hospital, Inc. (Alexandria Bay, NY). Each 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 Maynard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matthew Maynard affiliated with any hospitals?

According to CMS data, Matthew Maynard is affiliated with Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Maynard was last updated on March 26, 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.