MATTHEW CHISDOCK (PA-C) – Physician Assistant, NPI 1629590096
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,244 PHYSICIAN ASSISTANT in NY
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Provider Addresses for MATTHEW CHISDOCK (PA-C)
106, Valentine Street, Lower Moosic, Starks, Moosic, Lackawanna County, Pennsylvania, 18507, United States
MOOSIC, PA 185071164
Phone:
Type: Mailing
Bassett Medical Center, 1, Atwell Road, Cooperstown, Town of Otsego, Otsego County, New York, 13326, United States
1 ATWELL RD
COOPERSTOWN NY, NY 13326
Phone: (607) 547-3456
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $359.
Total Amount is formed as General ($359) + Research ($0) + Ownership ($0) = $359.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($125).
Total Amount
$359
General + Research + Ownership
Payments
8
Total payment records
General Amount
$359
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-09-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170927003411 | I | Physician Assistant | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 140 | 113 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 43 | 43 | $0 |
Insurance plans in this area (ZIP 18507)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| Physician Assistant | WV | |
| Nurse Practitioner | NY | |
| - | NY |
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