Individual provider Active NPI

Matthew G McClure, M.D.

  • Cardiovascular Disease Physician
  • Williamsville, NY
National Provider Identifier
1407063241
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
264513 Issued in NY
Practice address
825 Wehrle Drive
Williamsville, NY 14221-1718
Phone
(716) 634-3502
Fax
(716) 634-1930
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT188619 PA
Cardiovascular Disease Physician 207RC0000X 264513 NY Primary

Addresses

Primary practice location

825 Wehrle Drive
Williamsville, NY 14221-1718

Mailing address

825 Wehrle Drive
Williamsville, NY 14221-1718
Phone (716) 634-3502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120604000310 NY Practitioner - Cardiovascular Disease (Cardiology) 9436313475 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York at Buffalo School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians
Kenmore Mercy HospitalGroup PAC ID 7517870462, 54 clinicians
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians

Practice addresses (Care Compare)

1616 Kensington Ave
Suite 1
Buffalo, NY 14215-1433
Phone (716) 834-3278

2950 Elmwood Ave
Kenmore, NY 14217-1304

3091 William St
Cheektowaga, NY 14227-1919
Phone (716) 822-3098

310 Sterling Dr
Suite 100
Orchard Park, NY 14127-1500
Phone (716) 677-6800

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

4855 Camp Rd
Hamburg, NY 14075-2600

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 837-2400

825 Wehrle Dr
Williamsville, NY 14221-7717
Phone (716) 634-3243

Hospital & facility affiliations

  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

Merit-based Incentive Payment System (MIPS)

Final score
27.82 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
92.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT188619PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenmore Mercy Hospital CurrentSince Jul 8, 2017 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Mercy Hospital of Buffalo CurrentSince Oct 17, 2017 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 8, 2017 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Jul 8, 2017 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Trinity Medical Wny PC CurrentSince Mar 11, 2017 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Kenmore Mercy Hospital CurrentSince Jul 8, 2017 Accepting new patients
Trinity Medical Wny PC Internal Medicine CurrentSince Mar 11, 2017 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

310 Sterling Dr
Ste 100
Orchard Park, NY 14127
Phone (716) 677-6800

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

825 Wehrle Dr
Williamsville, NY 14221
Phone (716) 634-3243

Interoperability endpoints

  • Direct secure messaging: matthewmcclure@cgowny.allscriptsdirect.net
  • Direct secure messaging: mmcclure110631@direct.chsbuffalo.org

Organizations & group practices 11

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1407063241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WEHRLE DRIVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211718",
            "telephone_number": "716-634-3502",
            "fax_number": "716-634-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WEHRLE DRIVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211718",
            "telephone_number": "716-634-3502",
            "fax_number": "716-634-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT188619",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "264513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.