Individual provider Active NPI

Matthew Alan Wert, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Brooklyn, NY
National Provider Identifier
1023379203
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
268312-1 Issued in NY
Practice address
263 7TH Ave
Suite 2B
Brooklyn, NY 11215-7247
Phone
(718) 246-8700
Fax
(718) 332-0414
NPI assigned
Jun 4, 2012
Last updated
Jan 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 21976 MS
Orthopaedic Surgery Physician 207X00000X 268312-1 NY
Orthopaedic Surgery Physician 207X00000X 25MA09281400 NJ
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 268312-1 NY Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MA09281400 NJ

Addresses

Primary practice location

263 7TH Ave
Suite 2B
Brooklyn, NY 11215-7247

Mailing address

263 7TH Ave
Suite 2B
Brooklyn, NY 11215-7247
Phone (718) 246-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140115000957 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3375799083 Reassigns benefits to 2 organizations
I20200807000364 NJ Practitioner - Orthopedic Surgery 3375799083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Medical Care PCGroup PAC ID 3072898345, 4 clinicians

Practice addresses (Care Compare)

3423 Guider Ave
Brooklyn, NY 11235-5271
Phone (718) 332-4747

375 Mount Pleasant Ave
Suite 210
West Orange, NJ 07052-2751
Phone (718) 332-4747

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)22
Upper limb (arm) arthroscopy (minimally invasive joint repair)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21976MSMDOrthopaedic Surgery Physician
25MA09281400NJMDSports Medicine (Orthopaedic Surgery) Physician
268312-1NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC CurrentSince Nov 1, 2016 Accepting new patients
Kings Physician Services, PC CurrentSince Nov 1, 2016 Accepting new patients
Atlantic W Medical Care PLLC Orthopaedic Surgery CurrentSince May 22, 2020 Accepting new patients
Sanford R Wert MD PC CurrentSince Sep 7, 2013 Accepting new patients
W Medical Care PC Orthopaedic Surgery Past Accepting new patients
Mississippi Sports Medicine & Orthopaedic Center Orthopaedic Surgery Past Accepting new patients

Locations

263 7th Ave
Ste 2B
Brooklyn, NY 11215
Phone (718) 246-8700

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGCGDD/Endpoint/BGCGDD
  • Direct secure messaging: maw9125@direct.nyp.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1023379203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 7TH AVE",
            "address_2": "SUITE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157247",
            "telephone_number": "718-246-8700",
            "fax_number": "718-332-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 7TH AVE",
            "address_2": "SUITE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157247",
            "telephone_number": "718-246-8700",
            "fax_number": "718-332-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERT",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "21976",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "268312-1",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA09281400",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "268312-1",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA09281400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.