Individual provider Active NPI

Matthew Cyril Wendt, MD

  • Orthopaedic Surgery Physician
  • Fort Mill, SC
National Provider Identifier
1063617561
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
83769 Issued in SC
Practice address
601 S Sutton Rd
Ste 101
Fort Mill, SC 29715
Phone
(803) 328-6306
Fax
(802) 909-6451
NPI assigned
Jun 15, 2007
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2020-00449 NC
Orthopaedic Surgery Physician 207X00000X 83769 SC Primary

Addresses

Primary practice location

601 S Sutton Rd
Ste 101
Fort Mill, SC 29715

Mailing address

4601 Park Rd
Ste 250
Charlotte, NC 28209-2290
Phone (704) 323-2237

Other identifiers 1

IdentifierTypeStateIssuer
837697MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20200723000950 NC Practitioner - Orthopedic Surgery 4587739966 Reassigns benefits to 1 organization
I20200727000954 SC Practitioner - Orthopedic Surgery 4587739966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rush Medical College of Rush University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OrthocarolinaGroup PAC ID 2062316821, 288 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

2536 Lengers Way
Fort Mill, SC 29707-7126
Phone (803) 313-3294

601 Sutton Rd S
Fort Mill, SC 29715-8439
Phone (803) 328-6306

6237 Carolina Commons Dr
Suite 110
Indian Land, SC 29707-6014
Phone (803) 266-7547

851 Heckle Blvd
Rock Hill, SC 29730-2806
Phone (839) 388-0908

9101 Pineville Matthews Rd
Suite D
Pineville, NC 28134-8826
Phone (704) 323-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement34
Knee replacement53
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)31
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-00449NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina Orthopaedic Surgery CurrentSince Jul 17, 2020 Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Jul 17, 2020 Accepting new patients
Orthocarolina Orthopaedic Surgery Past Accepting new patients

Locations

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

9101 Pineville Matthews Rd
Ste D
Pineville, NC 28134
Phone (704) 323-3300

601 Sutton Rd S
Ste 101
Fort Mill, SC 29715
Phone (803) 328-6303

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

197 Piedmont Blvd
Ste 111
Rock Hill, SC 29732
Phone (803) 327-3456

Organizations & group practices 3

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1063617561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "STE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "704-323-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S SUTTON RD",
            "address_2": "STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29715",
            "telephone_number": "803-328-6306",
            "fax_number": "802-909-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "MATTHEW",
        "middle_name": "CYRIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2020-00449",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "83769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "837697",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.