NPIMap

Individual provider Active NPI

Matthew C Johnson, MD

  • Emergency Medicine Physician
  • Cooperstown, NY
National Provider Identifier
1336490911
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
321298 Issued in NY
Practice address
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone
(607) 547-3456
NPI assigned
Sep 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 321298 NY Primary

Addresses

Primary practice location

1 Atwell Rd
Cooperstown, NY 13326-1301

Mailing address

1 Atwell Rd
Cooperstown, NY 13326-1394
Phone (607) 547-3456

Other practice location 1

460 Andes Rd
Delhi, NY 13753-7443
Phone (607) 746-0300

Other practice location 2

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

Other practice location 3

140 Burwell St
Little Falls, NY 13365-1794
Phone (315) 823-1000

Other practice location 4

1 Norton Ave
Oneonta, NY 13820-2697
Phone (607) 431-5000

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
I20230811002255 NY Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 6709037609 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Critical Care (Intensivists)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0300

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

5 Palisades Dr
Suite 100
Albany, NY 12205-6433
Phone (518) 438-4496

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321298NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. Emergency Medicine CurrentSince Sep 14, 2025 Accepting new patients
Albany Medical College Emergency Medicine Current Accepting new patients
Albany Medical College Physician Assistant Current Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

5 Palisades Dr
Ste 100
Albany, NY 12205
Phone (518) 438-4496

47 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3773

6 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2020

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: mjohnson4548935@direct.trinity-health.org
  • Direct secure messaging: mjohnson19573@albanymed.direct-ci.com

Organizations & group practices 8

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 7

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1336490911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261394",
            "telephone_number": "607-547-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Andes Rd",
            "address_purpose": "LOCATION",
            "city": "Delhi",
            "state": "NY",
            "postal_code": "137537443",
            "country_code": "US",
            "telephone_number": "607-746-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 Grandview Dr",
            "address_purpose": "LOCATION",
            "city": "Cobleskill",
            "state": "NY",
            "postal_code": "120435144",
            "country_code": "US",
            "telephone_number": "518-254-3456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Burwell St",
            "address_purpose": "LOCATION",
            "city": "Little Falls",
            "state": "NY",
            "postal_code": "133651794",
            "country_code": "US",
            "telephone_number": "315-823-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Norton Ave",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "138202697",
            "country_code": "US",
            "telephone_number": "607-431-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "321298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooperstown, NY

Sources for this page

Verify at the official NPI Registry.