Individual provider Active NPI

Matthew Walter Wilkening, MD

  • Orthopaedic Surgery Physician
  • Nashua, NH
National Provider Identifier
1295174753
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
19553 Issued in NH
Practice address
17 Riverside St Ste 101
Nashua, NH 03062-1383
Phone
(603) 883-0091
Fax
(603) 881-3739
NPI assigned
Jun 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301103221 MI
Orthopaedic Surgery Physician 207X00000X D85867 MD
Orthopaedic Surgery of the Spine Physician 207XS0117X 19553 NH
Orthopaedic Surgery Physician 207X00000X 19553 NH Primary

Addresses

Primary practice location

17 Riverside St Ste 101
Nashua, NH 03062-1383

Mailing address

17 Riverside St Ste 101
Nashua, NH 03062-1383
Phone (603) 883-0091

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287
Phone (410) 955-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20190710002412 NH Practitioner - Orthopedic Surgery 7810126380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

17 Riverside St
Suite 101
Nashua, NH 03062-1383
Phone (603) 883-0091

Hospital & facility affiliations

  • Vna Home Health and Hospice Services, Inc Home health agency, Manchester, NH, CCN 307003
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017

Merit-based Incentive Payment System (MIPS)

Final score
75.37 of 100Reported as group
Quality
56.5
Promoting interoperability
86
Improvement activities
40
Cost
73.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion108
Laminectomy or laminotomy (partial removal of spine bones)23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D85867MDMDOrthopaedic Surgery Physician
19553NHMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients

Locations

9 Washington Pl
Ste 101
Bedford, NH 03110
Phone (603) 669-5454

17 Riverside St
Ste 101
Nashua, NH 03062
Phone (603) 689-1690

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

Interoperability endpoints

  • Direct secure messaging: matthew.wilkening.p1@direct.nhoc.nextgenshare.com

Organizations & group practices 2

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 4

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1295174753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621383",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621383",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21287",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKENING",
        "first_name": "MATTHEW",
        "middle_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301103221",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D85867",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NH",
            "license": "19553",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "19553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.