Active NPI
Matthew Kelsey Reppert, M.D.
- Surgery Physician
- Painted Post, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 192911-1
- Practice address
- 20 Overbrook Rd
Painted Post, NY 14870-9339 - Phone
- (607) 368-0334
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD044340E | PA | |
| Surgery Physician | 208600000X | 192911-1 | NY | Primary |
Addresses
Primary practice location
20 Overbrook Rd
Painted Post, NY 14870-9339
Mailing address
20 Overbrook Rd
Painted Post, NY 14870-9339
Phone (607) 368-0334
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01431621 | Medicaid | NY | |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| 020049791 | Other | NY | RR MEDICARE PIN |
| 0014394690003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Pittsburgh School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.41 of 100
- Quality
- 90.71
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.4 of 100
- Quality
- 86.36
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192911-1 | NY | MD | Surgery Physician |
| MD044340E | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenango Memorial Hospital, Inc. | Surgery | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Delaware Valley Hospital, Inc | Current | Accepting new patients | |
| Delaware Valley Hospital, Inc | Current | Accepting new patients | |
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| Chenango Memorial Hospital Inc | Current | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
4 Newton Ave
Norwich, NY 13815
Phone (607) 337-4139
179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111
44 Pearl St W
Sidney, NY 13838
Phone (607) 563-3512
2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197
2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197
1 1st St
Watkins Glen, NY 14891
Phone (607) 535-2403
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- Critical Access Hospital Clinic/Center
- Walton, NY
- NPI 1144312646
-
- Critical Access Hospital
- Walton, NY
- NPI 1417940719
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Durable Medical Equipment & Medical Supplies
- Norwich, NY
- NPI 1437818622
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1003880683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OVERBROOK RD",
"city": "PAINTED POST",
"state": "NY",
"postal_code": "148709339",
"telephone_number": "607-368-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OVERBROOK RD",
"city": "PAINTED POST",
"state": "NY",
"postal_code": "148709339",
"telephone_number": "607-368-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPPERT",
"first_name": "MATTHEW",
"middle_name": "KELSEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD044340E",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "192911-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01431621",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC8362",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "020049791",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014394690003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Painted Post, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.