Matthew Bologna, M.D.
NPI 1609239862 · Orthopaedic Surgery Physician · Raleigh, NC
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Bologna, M.D. is a Orthopaedic Surgery Physician provider in Raleigh, NC (NPI 1609239862).
Provider details
- NPI number
- 1609239862
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD476901 (PA)
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
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
600 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) |
|---|---|---|
| X-Ray of Foot, Minimum of 3 Views73630 | 164 | $32 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 142 | $84 |
| X-Ray of Ankle, Minimum of 3 Views73610 | 112 | $34 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 81 | $124 |
| Aspiration And/Or Injection of Fluid From Small Joint20600 | 30 | $56 |
| Aspiration And/Or Injection of Fluid From Medium Joint20605 | 27 | $55 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Celecoxib | 24 | 13 |
| Methylprednisolone | 23 | 23 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,031 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
Additional practice locations (1)
- 1307 Federal St Ste 2Pittsburgh, PA 15212-4769Phone: (877) 660-6777Fax: (412) 359-8055
Registry dates
- Enumerated
- 2016-04-04
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Frequently asked questions
- What is Matthew Bologna's NPI number?
- Matthew Bologna's National Provider Identifier (NPI) is 1609239862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Bologna's specialty?
- Matthew Bologna is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Bologna located?
- Matthew Bologna's practice location on file with NPPES is 3009 New Bern Ave, Raleigh, NC 27610-1214.
- What is Matthew Bologna's phone number?
- The practice phone number listed in the NPPES registry for Matthew Bologna is (919) 350-7193.
- Does Matthew Bologna accept Medicare?
- Matthew Bologna is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Bologna's NPI active?
- Yes — Matthew Bologna's NPI (1609239862) is active in the NPPES registry as of the last update on 2025-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.