Matthew Grafenberg, M.D.
NPI 1225001357 · Otolaryngology Physician · Pinehurst, NC
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Grafenberg, M.D. is a Otolaryngology Physician provider in Pinehurst, NC (NPI 1225001357).
Provider details
- NPI number
- 1225001357
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2008-00324 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,788 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 428 | $85 |
| Professional Service for Preparation and Provision of 1 Or More Antigens95165 | 400 | $13 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 219 | $156 |
| Professional Service for Multiple Injections of Allergen95117 | 127 | $10 |
| Removal of Impacted Ear Wax69210 | 100 | $44 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 88 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azelastine Hcl | 163 | 78 |
| Fluticasone Propionate | 114 | 47 |
| Ipratropium Bromide | 88 | 39 |
| Omeprazole | 65 | 25 |
| Doxycycline Hyclate | 47 | 39 |
| Prednisone | 33 | 28 |
| Mometasone Furoate | 31 | 15 |
| Cephalexin | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$822 across 20 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-09
- Last updated
- 2018-09-11
Frequently asked questions
- What is Matthew Grafenberg's NPI number?
- Matthew Grafenberg's National Provider Identifier (NPI) is 1225001357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Grafenberg's specialty?
- Matthew Grafenberg is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Grafenberg located?
- Matthew Grafenberg's practice location on file with NPPES is 5 Firstvillage Drive, Pinehurst, NC 28374.
- What is Matthew Grafenberg's phone number?
- The practice phone number listed in the NPPES registry for Matthew Grafenberg is (910) 295-6831.
- Does Matthew Grafenberg accept Medicare?
- Matthew Grafenberg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Grafenberg's NPI active?
- Yes — Matthew Grafenberg's NPI (1225001357) is active in the NPPES registry as of the last update on 2018-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.