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MATTHEW VANDEMORTEL PA-C
NPI 1962996520
Physician Assistant in Rochester, NY

Active since June 18, 2018PECOS Enrolled
100/100
CMS Quality Rating
601 ELMWOOD AVE FL 416, ROCHESTER, NY 14642(585) 275-5276 Get Directions Write a Review

NPPES record last updated: September 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2020, Jun 18, 2018 (2 updates tracked since 2018).

About Matthew Vandemortel Pa-c NPPES

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

MATTHEW VANDEMORTEL PA-C (NPI 1962996520) is an individual physician assistant in Rochester, New York and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Utica.

NPPES Registry Identity

NPI1962996520
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW VANDEMORTELCredential: PA-C
Location Address601 ELMWOOD AVE FL 416Rochester, NY 14642-5988
Mailing Address3098 Johnson RdGeneva, NY 14456-9522 · (315) 237-7211
Phone(585) 275-5276
Sole ProprietorNo
Enumeration DateJune 18, 2018
Last NPPES UpdateSeptember 5, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2020
✔ NPI 1962996520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
601 ELMWOOD AVE FL 416, Rochester, NY 14642
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Secondary Practice Location 1

Location 12211 Genesee St Fl 2Utica, NY 13501-5988 · Phone (315) 733-7598

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Vandemortel Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.35
Promoting Interoperability100
Improvement Activities40
Cost98.55

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 Vandemortel's NPI number?

The NPI number for Matthew Vandemortel is 1962996520. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Matthew Vandemortel located?

Matthew Vandemortel practices at 601 Elmwood Ave Fl 416, Rochester, NY 14642. The listed phone number is (585) 275-5276.

What is Matthew Vandemortel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Vandemortel enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Vandemortel was last updated on September 5, 2020. 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.