NPIMap

Individual provider Active NPI

Matthew William Tetreault, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Albany, NY
National Provider Identifier
1093152340
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
299366 Issued in NY
Practice address
1367 Washington Ave
Albany, NY 12206-1069
Phone
(518) 489-2666
NPI assigned
May 28, 2013
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 299366 NY Primary

Addresses

Primary practice location

1367 Washington Ave
Albany, NY 12206-1069

Mailing address

1367 Washington Ave Ste 200
Albany, NY 12206-1043
Phone (518) 489-2666

Other practice location 1

3757 Carman Rd
Schenectady, NY 12303-5442
Phone (518) 489-2666

Other practice location 2

4 Medical Park Dr Ste 200
Malta, NY 12020-5004
Phone (518) 489-2666

Other practice location 3

989 Route 146 Ste 200
Clifton Park, NY 12065-3647
Phone (518) 489-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703002016 NY Practitioner - Orthopedic Surgery 2264722735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Pittsburgh School of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
Capital Region Orthopaedic Associates, PCGroup PAC ID 3779496393, 67 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

1367 Washington Ave
Suite 200
Albany, NY 12206-1043
Phone (518) 489-2666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
56.02
Promoting interoperability
100
Improvement activities
40
Cost
85.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement83
Knee replacement111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63745MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Region Orthopaedic Associates, PC Orthopaedic Surgery CurrentSince Jul 23, 2019 Accepting new patients
Albany Medical College Past Accepting new patients

Locations

1367 Washington Ave
Ste 200
Albany, NY 12206
Phone (518) 489-2666

1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500

3757 Carman Rd
Ste 104
Schenectady, NY 12303
Phone (518) 355-3980

Interoperability endpoints

  • Direct secure messaging: matthew.tetreault.1@28317.direct.athenahealth.com
  • Direct secure messaging: mtetreault30116@albanymed.direct-ci.com
  • Direct secure messaging: mtetreault788448@direct.trinity-health.org

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 26

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

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1093152340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE STE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061043",
            "telephone_number": "518-489-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061069",
            "telephone_number": "518-489-2666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3757 Carman Rd",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123035442",
            "country_code": "US",
            "telephone_number": "518-489-2666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Medical Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Malta",
            "state": "NY",
            "postal_code": "120205004",
            "country_code": "US",
            "telephone_number": "518-489-2666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "989 Route 146 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120653647",
            "country_code": "US",
            "telephone_number": "518-489-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETREAULT",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NY",
            "license": "299366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.