Individual provider Active NPI

Matthew Kelsey Reppert, M.D.

  • Surgery Physician
  • Painted Post, NY
National Provider Identifier
1003880683
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
192911-1 Issued in NY
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

Updated by the provider on Jun 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01431621MedicaidNY
CC8362OtherNYRR MEDICARE GROUP
020049791OtherNYRR MEDICARE PIN
0014394690003MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000177 NY Practitioner - General Surgery 1052441722 Reassigns benefits to 4 organizations

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
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians

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 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
192911-1NYMDSurgery Physician
MD044340EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital, Inc. Surgery CurrentSince Jun 5, 2015 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2000 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2000 Accepting new patients
Delaware Valley Hospital, Inc CurrentSince Mar 20, 2024 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Jun 5, 2015 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.