MATTHEW HODERLEIN PA-C
NPI 1811663875
Physician Assistant in Penfield, NY
About Matthew Hoderlein Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW HODERLEIN PA-C (NPI 1811663875) is an individual physician assistant in Penfield, New York, licensed in New York (028362) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Matthew Hoderlein Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PENFIELD, NY 14526
PENFIELD, NY 14526
PENFIELD, NY 14526
PENFIELD, NY 14526
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 Hoderlein's NPI number?
The NPI number for Matthew Hoderlein is 1811663875. It was assigned to this individual provider in the NPPES registry on August 19, 2021.
Where is Matthew Hoderlein located?
Matthew Hoderlein practices at 481 Penbrooke Dr Ste 6, Penfield, NY 14526. The listed phone number is (585) 388-6000.
What is Matthew Hoderlein's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Matthew Hoderlein enrolled in Medicare?
Yes. Matthew Hoderlein 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.
When was this NPI record last updated?
The NPPES record for Matthew Hoderlein was last updated on August 14, 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.
# Matthew Hoderlein, PA-C · NPI 1811663875
Physician Assistant physician in Penfield, New York. Individual provider, active in the CMS NPPES registry since August 19, 2021.
## Identity
- **NPI:** 1811663875 (Entity type: Individual)
- **Enumerated:** August 19, 2021
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 028362 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 481 PENBROOKE DR STE 6, Penfield, NY 14526-2044
- **Phone:** (585) 388-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1811663875) · Data from the CMS NPPES public registry.