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MATTHEW THOMAS BINKLEY M.D.
NPI 1922307214
Orthopaedic Surgery in Buffalo, NY

Active since March 25, 2011PECOS Enrolled
90.03/100
CMS Quality Rating
462 GRIDER ST, BUFFALO, NY 14215(716) 204-3200 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2018, Aug 11, 2016 (2 updates tracked since 2016).

About Matthew Thomas Binkley M.d. NPPES

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

MATTHEW THOMAS BINKLEY M.D. (NPI 1922307214) is an individual orthopaedic surgery provider in Buffalo, New York, licensed in New York (292796) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Wright State University Boonshoft School Of Medicine (2011).

NPPES Registry Identity

NPI1922307214
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMATTHEW THOMAS BINKLEYCredential: M.D.
Location Address462 GRIDER STBuffalo, NY 14215
Mailing Address4225 Genesee St Ste 400Cheektowaga, NY 14225-1994 · (716) 204-3200 · Fax (716) 204-4337
Phone(716) 204-3200
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2011
Enumeration DateMarch 25, 2011
Last NPPES UpdateFebruary 22, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
✔ NPI 1922307214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NY · 292796✔ Licensed in MD · D80880
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.
462 GRIDER ST, Buffalo, NY 14215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Thomas Binkley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951697507
PECOS Enrollment IDI20180718002997
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

4

Medicare enrollment records show Matthew Binkley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Erie County Medical Center Corporation
0.1 mi
Clinic/Center
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
NPI 1528233616 (716) 898-3000
University Orthopaedic Services, Inc
5.1 mi
Orthopaedic Surgery
4225 GENESEE ST STE 400
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 139 clinicians in this Medicare group
NPI 1578599866 (716) 204-3200
Millard Fillmore Surgery Center, LLC
7.1 mi
Ambulatory Surgical
215 KLEIN RD
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1689852618 (716) 568-6100
Southtowns Surgery Center LLC
12 mi
Ambulatory Surgical
5959 BIG TREE RD
Orchard Park, NY 14127
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
NPI 1518323435 (716) 859-8831

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 13

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.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
174 services112 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services60 patients
X-ray of elbow, minimum of 3 views 73080
An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.
56 services28 patients
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.
41 services35 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
37 services30 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.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · 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

Bertrand Chaffee Hospital

Acute Care Hospitals · Springville, NY
OwnershipVoluntary non-profit - Church
CMS Certification Number330111
Location224 East Main StreetSpringville, NY 14141 · Erie County
Emergency services

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · 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 14215 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.

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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.88
Improvement Activities40
Cost63.01

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
3 suppliers21 claims21 services$102.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. V. THOMAS CHAPIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
DR. JOHN JACOB HANNIBAL IV M.D.
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-4226
HMB PHARMACY MANAGEMENT LLC
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Erie County (716) 332-2866
SARAH MARIE THOMPSON PA-C
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 698-5375
MATTHEW GARRETT ALBEN DO
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-5053
DANNY ISSAM BELMONA MD
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
MR. KENNETH L DZIALAK COTA
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3575
MS. ZENA SONDRA HYMAN NP
Nurse Practitioner (Adult Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000

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 Binkley's NPI number?

The NPI number for Matthew Binkley is 1922307214. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Where is Matthew Binkley located?

Matthew Binkley practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 204-3200.

What is Matthew Binkley's specialty?

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

Is Matthew Binkley enrolled in Medicare?

Yes. Matthew Binkley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Binkley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Binkley reassigns Medicare benefits to 4 organizations: Erie County Medical Center Corporation (Buffalo, NY), University Orthopaedic Services, Inc (Cheektowaga, NY), Millard Fillmore Surgery Center, LLC (Williamsville, NY) and Southtowns Surgery Center LLC (Orchard Park, 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 Binkley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matthew Binkley affiliated with any hospitals?

According to CMS data, Matthew Binkley is affiliated with Kaleida Health, Kenmore Mercy Hospital, Bertrand Chaffee Hospital, Erie County Medical Center and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Matthew Binkley was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.