Doctor profile · Federal record

Dr. Matthew Hepinstall, M.D.

Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · New York, NY

  • NPI 1164686002
  • Accepts Medicare
  • MIPS 84.5 / 100 · 2023
  • 23 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
130 E 77Th St Fl 11, Park Lenox Orthopaedics, PC
New York, NY 100751851
(212) 434-6880
fax (212) 434-6888

Credentials & registration

NPPES · NUCC
NPI registered
July 2008 — 18 yrs on file
Profile last updated
April 15, 2021
Year of graduation
2003 — 23 yrs since
Specialty taxonomy
207X00000X — NUCC code
State license (1)
New York #242645

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1164686002. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,247
Distinct HCPCS
10
Medicare allowed
$379,165
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 280 247 $147
99204 New patient office or other outpatient visit, 45-59 minutes 123 123 $193
99213 Established patient office or other outpatient visit, 20-29 minutes 100 96 $103
27447 Replacement of knee joint, both sides of knee 88 84 $1,534
99215 Established patient office or other outpatient visit, 40-54 minutes 83 81 $206
20985 Computer-assisted surgery for muscle and bone procedure 80 75 $174
20610 Aspiration and/or injection of fluid from large joint 79 58 $84
97607 Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area 50.0 sq cm or less 75 70 $26
99205 New patient office or other outpatient visit, 60-74 minutes 52 52 $254
27130 Replacement of thigh bone and hip joint with prosthesis 51 50 $1,549

In context: peer comparison

Among 76 peers in this city , average services per provider: 123. This provider delivers 10× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$43,822
Transactions
45
Manufacturers
7
Payer (manufacturer) Industry Txns Amount
Stryker Corporation 36 $42,278.29
Globus Medical, Inc. 3 $725.76
EXACTECH, INC. 1 $261.63
MEDACTA USA, INC. 2 $172.31
Davol Inc. 1 $150.95
DePuy Synthes Sales Inc. 1 $143.31
Smith+Nephew, Inc. 1 $90.00

By nature of payment

Consulting Fee
$39,150
Travel and Lodging
$3,350
Food and Beverage
$1,322

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
54
Patients
32
Total drug cost
$172
Drug Type Claims Patients Total cost
Meloxicam Generic 22 14 $86
Tramadol Hcl Generic 21 18 $55
Oxycodone Hcl Generic 11 0 $31

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Matthew Hepinstall's medical specialty?
Dr. Matthew Hepinstall practices Orthopaedic Surgery Physician in New York, NY.
Where does Dr. Matthew Hepinstall practice?
Dr. Matthew Hepinstall practices at 130 E 77Th St Fl 11, New York, NY 100751851. Office phone: 2124346880.
What is Dr. Matthew Hepinstall's NPI?
Dr. Matthew Hepinstall's National Provider Identifier (NPI) is 1164686002, issued by NPPES.
Does Dr. Matthew Hepinstall accept Medicare assignment?
Yes. Dr. Matthew Hepinstall accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Matthew Hepinstall commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.