NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1356797138 MD MPH
Verify on CMS → Matthew Boylan, MD MPH
Sports Medicine (Orthopaedic Surgery) Physician in Port Jefferson, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,766 in Sports Medicine (Orthopaedic Surgery) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
927
Medicare Part D claims · 308 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 309
MIPS score
91.3/100
▲ 8 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Matthew Boylan, MD MPH reported a CMS MIPS final score of 91.3/100 - above the 83.5 national average - and filed 927 Medicare Part D claims in 2024.
- 91.3/100
- MIPS score · +8 vs avg
- 927
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥61st
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Matthew Boylan, MD MPH
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1356797138), first enumerated 05/10/2016.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 927 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 91.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Matthew Boylan, MD MPH's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1356797138 · Sports Medicine (Orthopaedic Surgery) Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1356797138
- ENUM-MID 2016
- TAX-NARROW 2,766
- MIPS-ABOVE 91.3/100
- RX-LIGHT 927
- BOOK-THIN 179 in New York
- PHOTO-FINISH James Moseley · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Carroll Starling…
Carroll Starling
91.2 MIPS pts
- Boylan · this pr…
Boylan · this provider
91.3 MIPS pts
- Charles Vega · h…
Charles Vega
91.3 MIPS pts
- Eric Mesecke · n…
Eric Mesecke
91.3 MIPS pts
- James Moseley · …
James Moseley
91.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Matthew Boylan, MD MPH's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
91 ≥ 61st percentile 61% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Matthew Boylan, MD MPH sits
This provider among sports medicine (orthopaedic surgery) physician peers
Across the 924 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Matthew Boylan, MD MPH writes more Part D claims than 93% of them and scores higher on MIPS quality than 73% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is Matthew Boylan, MD MPH. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Matthew Boylan, MD MPH practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Matthew Boylan, MD MPH?
High performer (top quartile)Primary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
927 200% vs specialty avg
MIPS final score
91.3/100 7.8 pts vs avg
Specialty distribution in New York
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Matthew Boylan, MD MPH's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average
- MIPS Final Score
- 91.3/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1356797138 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | MD MPH |
| Gender | Male |
| NPI Issued | 05/10/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.2532
Final Score
Measured-score avg: 83.5
74.9203
Quality
91.6794
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Matthew Boylan, MD MPH bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
True North Medical Group PC
Bohemia, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Matthew Boylan, MD MPH. To verify Matthew Boylan, MD MPH's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
927
Total Claims
$6K
Total Drug Cost
308
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 971
- Total Day Supply
- 21,585
- Brand Drug Cost
- $0
- Generic Drug Cost
- $6K
- Opioid Claims
- 87 (9.4% rate)
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 0.96
- Gender Split
- 51% female / 49% male
- Age Distribution
- <65: 50, 65-74: 168, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Matthew Boylan, MD MPH prescribes most
Top Medicare Part D drugs by claim count, 2024
- Meloxicam
Meloxicam
423 claims
- Cyclobenzaprine Hcl 137
Cyclobenzaprine Hcl
137 claims
- Oxycodone Hcl 79
Oxycodone Hcl
79 claims
- Diclofenac Sodium 71
Diclofenac Sodium
71 claims
- Methylprednisolone 67
Methylprednisolone
67 claims
- Celecoxib 42
Celecoxib
42 claims
- Tizanidine Hcl 25
Tizanidine Hcl
25 claims
- Famotidine 22
Famotidine
22 claims
| Drug | Claims |
|---|---|
| Meloxicam | 423 |
| Cyclobenzaprine Hcl | 137 |
| Oxycodone Hcl | 79 |
| Diclofenac Sodium | 71 |
| Methylprednisolone | 67 |
| Celecoxib | 42 |
| Tizanidine Hcl | 25 |
| Famotidine | 22 |
| Ibuprofen | 15 |
| Methocarbamol | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in NY →
All providers in New York →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How Matthew Boylan, MD MPH fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,766
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
309
Avg Claims per Provider
Matthew Boylan, MD MPH's 927 claims are above the specialty average of 309.
Nationwide Sports Medicine (Orthopaedic Surgery) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Boylan, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (91.3 here).
Same NPPES enumeration year (2016)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Boylan.
One of 179 Sports Medicine (Orthopaedic Surgery) Physician providers enrolled in New York, 5 are shown here.
Frequently Asked Questions
What is Matthew Boylan, MD MPH's specialty? ▼
Matthew Boylan, MD MPH specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Port Jefferson, New York. Credentials: MD MPH.
How much does Matthew Boylan, MD MPH prescribe under Medicare Part D? ▼
In 2024, Matthew Boylan, MD MPH wrote 927 Medicare Part D claims totaling $6K in drug costs for 308 beneficiaries.
What is Matthew Boylan, MD MPH's Medicare quality score? ▼
Matthew Boylan, MD MPH has a CMS MIPS Final Score of 91.3/100 (Quality: 74.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Matthew Boylan, MD MPH located? ▼
Matthew Boylan, MD MPH is located at 635 BELLE TERRE RD STE 204, Port Jefferson, NY, 11777. Phone: (631) 302-7349.
What is Matthew Boylan, MD MPH's NPI number? ▼
Matthew Boylan, MD MPH's National Provider Identifier (NPI) is 1356797138, issued on 05/10/2016.
Does Matthew Boylan, MD MPH prescribe opioids? ▼
Yes, Matthew Boylan, MD MPH had 87 opioid claims in 2024 with an opioid prescribing rate of 9.4%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,766 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 309 Medicare Part D claims per year.
What drugs does Matthew Boylan, MD MPH prescribe most often? ▼
Based on 2024 Medicare Part D data, Matthew Boylan, MD MPH's most frequently prescribed drugs include Meloxicam, Cyclobenzaprine Hcl, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Matthew Boylan, MD MPH accept Medicare? ▼
Matthew Boylan, MD MPH appears in CMS Medicare data with 927 Part D claims and 308 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Matthew Boylan, MD MPH's credentials? ▼
Matthew Boylan, MD MPH's NPI is 1356797138 with credentials MD MPH. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.