Bryan K. Matanky, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

22110 Issued in AZ

Practice address

1760 E Florence Blvd
Suite 120
Casa Grande, AZ 85222-4764

Phone

(520) 426-1000

Fax

(520) 426-1395

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Orthopedic Surgery

Education

Chicago College of Medicine and Surgery, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Orthopaedics and Sports Medicine, PCGroup PAC ID 4385558030, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016
• Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bryan.matanky@1305.chartlogic.direct-ci.com
• Direct secure messaging: bmatanky@direct.uspi.com

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.

• Advanced Orthopaedics and Sports Medicine, PC

  • Orthopaedic Surgery Physician
  • Casa Grande, AZ
  • NPI 1417066788
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Orthopaedics and Sports Medicine, PC

  • Orthopaedic Surgery Physician
  • Chandler, AZ
  • NPI 1821594235
  NPD Authorized official

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

• Banner Health

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976
  Care Compare affiliation
• Orthopedic and Surgical Specialty Company, LLC

  • Special Hospital
  • Phoenix, AZ
  • NPI 1124163530
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205945482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E FLORENCE BLVD",
            "address_2": "SUITE 120",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224764",
            "telephone_number": "520-426-1000",
            "fax_number": "520-426-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E FLORENCE BLVD",
            "address_2": "SUITE 120",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224764",
            "telephone_number": "520-426-1000",
            "fax_number": "520-426-1395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Dobson Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852866160",
            "country_code": "US",
            "telephone_number": "520-426-1000",
            "fax_number": "520-426-1395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATANKY",
        "first_name": "BRYAN",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "22110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200018286",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "F66298",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. LABOR",
            "identifier": "0046722",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z1375",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS TAX ID",
            "identifier": "86-0754243",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15781901",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AZ0351140",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Maslovich, DMD
• Arlyn R Mason, N.P.
• Lena Masri
• Sara Elizabeth Massaro, NP
• Thomas E Masters, DO
• Matthew Littlejohn OD PC
• Nicholas E May, DO
• Katherine Marie Maynard, PA
• Katherine M Mayo, M.S.
• Konstantin Mazursky, D.O

• Orthopaedic Surgery Physician in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.