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DR. MATTHEW RUBACHA
NPI 1811489222
Orthopaedic Surgery in Buffalo, NY

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
700 MICHIGAN AVE, BUFFALO, NY 14203(716) 854-5700(716) 854-5800 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Oct 4, 2019 (2 updates tracked since 2019).

About Dr. Matthew Rubacha NPPES

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

DR. MATTHEW RUBACHA (NPI 1811489222) is an individual orthopaedic surgery provider in Buffalo, New York, licensed in Louisiana (320166) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811489222
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MATTHEW RUBACHA
Location Address700 MICHIGAN AVEBuffalo, NY 14203-1536
Mailing Address700 Michigan AveBuffalo, NY 14203-1536 · (716) 854-5700 · Fax (716) 854-5800
Phone(716) 854-5700
Fax(716) 854-5800
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 31, 2018
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1811489222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in LA · 320166
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.
700 MICHIGAN AVE, Buffalo, NY 14203
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Secondary Practice Locations 2

Location 16565 Fannin StHouston, TX 77030-2703 · Phone (713) 790-3311
Location 22390 W Congress StLafayette, LA 70506-4205 · Phone (337) 261-6000 · Fax (337) 261-6003

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

Dr. Matthew Rubacha 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 ID3274863113
PECOS Enrollment IDI20221215001301
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 4

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.

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.
40 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

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.

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.

DR. ZAIR FISHKIN MD, PHD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
700 MICHIGAN AVE
BUFFALO, NY 14203
Erie County (716) 854-5700
WG MEDICAL PLLC
Clinic/Center (Primary Care)
700 MICHIGAN AVE, SUITE 210
BUFFALO, NY 14203
Erie County (716) 884-8033
CASSANDRA A BENDER RPA-C
Physician Assistant (Surgical)
700 MICHIGAN AVE
BUFFALO, NY 14203
Erie County (716) 854-5700
ARRANT SURGICAL
Specialist
700 MICHIGAN AVE
BUFFALO, NY 14203
Erie County (716) 854-5700
MICHAEL A PELL, MD PC
Specialist
700 MICHIGAN AVE
BUFFALO, NY 14203
Erie County (716) 854-5700
DR. ANDREW MARC TETRO M.D.
Orthopaedic Surgery
700 MICHIGAN AVE
BUFFALO, NY 14203
Erie County (716) 854-5700
MR. JOSEPH M LORENZETTI P.T.
Physical Therapist (Orthopedic)
700 MICHIGAN AVE
BUFFALO, NY 14203
Erie County (716) 840-3380
SEAN P METZ RPA-C
Physician Assistant (Surgical)
700 MICHIGAN AVE, SUITE 100
BUFFALO, NY 14203
Erie County (716) 854-5700

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 Rubacha's NPI number?

The NPI number for Matthew Rubacha is 1811489222. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Matthew Rubacha located?

Matthew Rubacha practices at 700 Michigan Ave, Buffalo, NY 14203. The listed phone number is (716) 854-5700.

What is Matthew Rubacha's specialty?

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

Is Matthew Rubacha enrolled in Medicare?

Yes. Matthew Rubacha 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 Rubacha affiliated with any hospitals?

According to CMS data, Matthew Rubacha is affiliated with Sisters Of Charity Hospital, Kenmore Mercy Hospital and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Matthew Rubacha was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.