MATTHEW KLICS PA-C
NPI 1972057529
Physician Assistant - Surgical in Port Jefferson, NY

Active since August 12, 2016PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
635 BELLE TERRE RD, SUITE 204, PORT JEFFERSON, NY 11777(631) 474-0008 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2016, Aug 12, 2016 (2 updates tracked since 2016).

About Matthew Klics Pa-c NPPES

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

MATTHEW KLICS PA-C (NPI 1972057529) is an individual surgical provider in Port Jefferson, New York, licensed in New York (0200111) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2016).

NPPES Registry Identity

NPI1972057529
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMATTHEW KLICSCredential: PA-C
Location Address635 BELLE TERRE RD, SUITE 204Port Jefferson, NY 11777-1935
Mailing Address635 Belle Terre Rd, Suite 204Port Jefferson, NY 11777-1935
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2016
Enumeration DateAugust 12, 2016
Last NPPES UpdateOctober 19, 20162 updates tracked since enumeration
NPI 1972057529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 0200111
635 BELLE TERRE RD, Port Jefferson, NY 11777

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 Klics 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.

PECOS PAC ID2860771292
PECOS Enrollment IDI20161108000674
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 2

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.
21 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Specialist
635 BELLE TERRE RD, STE 204
PORT JEFFERSON, NY 11777
Physical Therapist
635 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Dentist
635 BELLE TERRE RD, SUITE 103
PORT JEFFERSON, NY 11777
Specialist
635 BELLE TERRE RD, STE 202
PORT JEFFERSON, NY 11777
Dentist (General Practice)
635 BELLE TERRE RD, SUITE 103
PORT JEFFERSON, NY 11777
Physician Assistant
635 BELLE TERRE RD, SUITE #204
PORT JEFFERSON, NY 11777
Physician Assistant
635 BELLE TERRE RD, SUITE 204
PORT JEFFERSON, NY 11777
Occupational Therapist
635 BELLE TERRE RD, SUITE 105
PORT JEFFERSON, NY 11777

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 Klics's NPI number?

The NPI number for Matthew Klics is 1972057529. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Where is Matthew Klics located?

Matthew Klics practices at 635 Belle Terre Rd Suite 204, Port Jefferson, NY 11777. The listed phone number is (631) 474-0008.

What is Matthew Klics's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Matthew Klics enrolled in Medicare?

Yes. Matthew Klics 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 Klics was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.