DR. MATTHEW WILLIAM TETREAULT (M.D.) – Orthopaedic Surgery Physician, NPI 1093152340

DR. MATTHEW WILLIAM TETREAULT (M.D.) is a healthcare provider. based in Rochester, Minnesota. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 70002 (WI). The NPI Number for DR. MATTHEW WILLIAM TETREAULT (M.D.) is 1093152340

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW WILLIAM TETREAULT (M.D.)
NPI
1093152340
Phone
(507) 284-2511
Address
MAYO CLINIC 200 1ST ST SW
Enumeration Date
28 May 2013
Last Update Date
16 November 2018

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
5184892666
Graduation Year
2013 (13 years ago)
PAC ID
2264722735
Group Practice PAC ID
3779496393
Professional Enrollment ID
I20190703002016
Address ID
NY122061043AL1367XAVEX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:13State licenses:3Digital endpointsOther names

819 ORTHOPEDIC SURGERY in MN

Provider Addresses for DR. MATTHEW WILLIAM TETREAULT (M.D.)

  • MAYO CLINIC 200 1ST ST SW

    ROCHESTER, MN 55905

    Phone: (507) 284-2511

    Type: Location

  • 700 West Ave S

    LA Crosse, WI 546014783

    Phone: (608) 785-0940

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $712.

Total Amount is formed as General ($712) + Research ($0) + Ownership ($0) = $712.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($333).

Total Amount

$712

General + Research + Ownership

Payments

16

Total payment records

General Amount

$712

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

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: 2019-07-03

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
I20190703002016IOrthopedic SurgeryNYTBD

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 mg1,150166$0
99213Established patient office or other outpatient visit, 20-29 minutes571375$0
73562X-ray of knee, 3 views345197$0
20610Aspiration and/or injection of fluid from large joint324219$0
73502X-ray of hip, 2-3 views245159$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 3779496393View full group profile
NameSpecialtyState
Hand SurgeryNY
Physician AssistantNY
Orthopedic SurgeryNY
Nurse PractitionerNY
-NY
-NY
Orthopedic SurgeryNY
Physician AssistantNY
Orthopedic SurgeryMI
Physician AssistantNY

Reviews

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Frequently asked questions

What is DR. MATTHEW WILLIAM TETREAULT (M.D.)'s NPI number?
DR. MATTHEW WILLIAM TETREAULT (M.D.)'s NPI is 1093152340 — the number used across U.S. healthcare to identify this provider.
Would DR. MATTHEW WILLIAM TETREAULT (M.D.) appear as active to a payer?
You can treat DR. MATTHEW WILLIAM TETREAULT (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. MATTHEW WILLIAM TETREAULT (M.D.)?
DR. MATTHEW WILLIAM TETREAULT (M.D.)'s specialty line reads Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. MATTHEW WILLIAM TETREAULT (M.D.) located near Rochester?
DR. MATTHEW WILLIAM TETREAULT (M.D.) currently maps to Rochester, Minnesota in this extract.
Does DR. MATTHEW WILLIAM TETREAULT (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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