MATTHEW T ARIYAVATKUL (PA-C) – Surgical Physician Assistant, NPI 1619273737

MATTHEW T ARIYAVATKUL (PA-C) is a healthcare provider. based in Middlebury, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 002539 (CT). The NPI Number for MATTHEW T ARIYAVATKUL (PA-C) is 1619273737

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW T ARIYAVATKUL (PA-C)
NPI
1619273737
Phone
(203) 598-0700
Address
1579 STRAITS TURNPIKE, SUITE E
Enumeration Date
7 February 2011
Last Update Date
5 December 2016

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2035980700
Graduation Year
2010 (16 years ago)
PAC ID
0547444994
Group Practice PAC ID
9638150055
Professional Enrollment ID
I20110408000124
Address ID
CT067621835MI1579XEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for MATTHEW T ARIYAVATKUL (PA-C)

  • 1579 STRAITS TURNPIKE, SUITE E

    ORTHOPAEDICS NEW ENGLAND PC

    MIDDLEBURY, CT 06762

    Phone: (203) 598-0700

    Fax: (877) 345-6922

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-05-31 • Largest payer in this snapshot: Smith+Nephew, Inc. ($48).

Total Amount

$48

General + Research + Ownership

Payments

1

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$48
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110408000124IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg15216$0
27130Replacement of thigh bone and hip joint with prosthesis9191$0
27447Replacement of knee joint, both sides of knee5148$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg3816$0
20610Aspiration and/or injection of fluid from large joint2019$0
View full utilization report →

Insurance plans in this area (ZIP 06762)

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Provider's Procedures

MATTHEW T ARIYAVATKUL (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCT73562X-ray of knee, 3 views6248

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638150055View full group profile
NameSpecialtyState
Physician AssistantCT
Physician AssistantNY
Physician AssistantCT
Physician AssistantCT
C H I R O P R A C T I CCT
Orthopedic SurgeryCT
Physician AssistantCT

Reviews

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Frequently asked questions

Does MATTHEW T ARIYAVATKUL (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MATTHEW T ARIYAVATKUL (PA-C) uses 1619273737.
Is MATTHEW T ARIYAVATKUL (PA-C) still practicing?
MATTHEW T ARIYAVATKUL (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does MATTHEW T ARIYAVATKUL (PA-C) hold?
Scheduling teams often label MATTHEW T ARIYAVATKUL (PA-C) under Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MATTHEW T ARIYAVATKUL (PA-C) list a practice location?
Patients near Middlebury, Connecticut may find MATTHEW T ARIYAVATKUL (PA-C) in results; validate coverage separately.
Why does MATTHEW T ARIYAVATKUL (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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