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MATTHEW DANIEL SANCHEZ NP
NPI 1942643242
Nurse Practitioner - Family in Whitesboro, NY

Active since April 17, 2013PECOS EnrolledAccepts Medicare Assignment
131 ORISKANY BLVD STE 5, WHITESBORO, NY 13492(609) 668-7847 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2021, Apr 1, 2016 (2 updates tracked since 2016).

About Matthew Daniel Sanchez Np NPPES

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

MATTHEW DANIEL SANCHEZ NP (NPI 1942643242) is an individual family provider in Whitesboro, New York, licensed in New York (341353) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1942643242
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW DANIEL SANCHEZCredential: NP
Location Address131 ORISKANY BLVD STE 5Whitesboro, NY 13492-1319
Mailing Address131 Oriskany Blvd Ste 5Whitesboro, NY 13492-1319
Phone(609) 668-7847
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 17, 2013
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1942643242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 341353
131 ORISKANY BLVD STE 5, Whitesboro, NY 13492
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Select Health.Insurance ›

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 Daniel Sanchez Np 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 ID1355577115
PECOS Enrollment IDI20180425000490
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

5

Medicare enrollment records show Matthew Sanchez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Matthew Sanchez Family Health Np Walk-In Services, PLLC
Same address
Family
131 ORISKANY BLVD STE 6
Whitesboro, NY 13492
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1487437778 (315) 507-3332
Matthew Sanchez Family Health Nurse Practitioner, PLLC
Same address
Nurse Practitioner
131 ORISKANY BLVD STE 5
Whitesboro, NY 13492
  • Reassigned Medicare billing, New York enrollment
NPI 1861894313 (315) 507-3332
Wellnow Urgent Care, PC
47 mi
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 clinicians in this Medicare group
NPI 1669825162 (716) 699-9032
Carthage Area Hospital Inc.
61 mi
Urology
3 BRIDGE ST
Carthage, NY 13619
  • Reassigned Medicare billing, New York enrollment
  • 199 clinicians in this Medicare group
NPI 1720269863 (315) 493-4874
Delphi Hospitalist Services LLC
120 mi
Hospitalist
1160 CHILI AVE STE 200
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 185 clinicians in this Medicare group
NPI 1922270420 (585) 500-4814

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 8

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 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.
299 services166 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.
265 services265 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
57 services38 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
41 services32 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
39 services29 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13492 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

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

MATTHEW SANCHEZ FAMILY HEALTH NURSE PRACTITIONER, PLLC
Nurse Practitioner
131 ORISKANY BLVD STE 5
WHITESBORO, NY 13492
Oneida County (315) 507-3332

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 Sanchez's NPI number?

The NPI number for Matthew Sanchez is 1942643242. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Matthew Sanchez located?

Matthew Sanchez practices at 131 Oriskany Blvd Ste 5, Whitesboro, NY 13492. The listed phone number is (609) 668-7847.

What is Matthew Sanchez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Sanchez enrolled in Medicare?

Yes. Matthew Sanchez 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 Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Sanchez reassigns Medicare benefits to 5 organizations: Matthew Sanchez Family Health Np Walk-In Services, PLLC (Whitesboro, NY), Matthew Sanchez Family Health Nurse Practitioner, PLLC (Whitesboro, NY), Wellnow Urgent Care, PC (Liverpool, NY), Carthage Area Hospital Inc. (Carthage, NY) and Delphi Hospitalist Services LLC (Rochester, 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 Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Sanchez accept?

Health plans from Oscar Health and Select Health list Matthew Sanchez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Sanchez affiliated with any hospitals?

According to CMS data, Matthew Sanchez is affiliated with Wynn Hospital and Rome Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Matthew Sanchez was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.