NPPES file of Aug 9, 2026

Matthew Wharton

Orthopaedic Surgery Physician · Albuquerque, NM

Matthew Wharton is an orthopaedic surgery physician with a practice address in Albuquerque, New Mexico, and NPI 1700249133, issued on Apr 2, 2016. Check the license (New Mexico MD2021-0620, as entered in NPPES) on the New Mexico Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1700249133
Name
Matthew Wharton
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License numbers
MD2021-0620 NM
55073 KY
Self-reported in NPPES; status is on the state search
Practice location
Msc 10 5600, Albuquerque, NM 87131
Phone
(505) 272-4107
Enumerated
Apr 2, 2016
Record last updated
Oct 29, 2024
Medicare enrollment
Enrolled (PECOS I20220914002260); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at Msc 10 5600

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Andrew Paterson, MDOrthopaedic Surgery of the Spine Physician1447203831

Verify Matthew Wharton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Mexico Medical Board
    Search for license MD2021-0620
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Mexico license search

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93% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024

25 Medicare Part D claims, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Matthew Wharton25
  2. Specialty average346

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 85.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score81.0
  2. Costout of 100 · 30%57.1
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,377.68

26 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Matthew Wharton$1,378
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Unm Medical Group IncAlbuquerque, NM

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Matthew Wharton among 141 orthopaedic surgery physician records in New Mexico

Matthew Wharton is one of 141 orthopaedic surgery physician records with a practice address in New Mexico. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 90% of them.

  • NPI issued2016 · 90% of these records are older, 7% newer
  • In a Medicare fileYes · 68% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2016 · median 2003 among the 79 with a school on file
  • Record last updated2024 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in New Mexico

There are 141 orthopaedic surgery physician records in New Mexico.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. David Chafey, M.D.Albuquerque, NM 871311326272584
  2. William CurtisAlbuquerque, NM 871311154959252
  3. Paul Echols, MDAlbuquerque, NM 871311508872185
  4. Rick Gehlert, MDAlbuquerque, NM 871311316952864
  5. Carl Gilmore, M.D.Albuquerque, NM 871311003012493
  6. Samer Kakish, FRCS(TR & ORTH), MSCAlbuquerque, NM 871311053796391
  7. Isaac Kim, M.D.Albuquerque, NM 871311609045764
  8. Gordon Lee, MDAlbuquerque, NM 871311144676941

Common questions

What is Matthew Wharton's NPI number?

Matthew Wharton's National Provider Identifier (NPI) is 1700249133, issued on Apr 2, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Matthew Wharton located?

The NPPES record lists a practice address at Msc 10 5600, Albuquerque, NM, 87131. Phone: (505) 272-4107. Providers update this record themselves, so call before visiting.

How can I verify Matthew Wharton's license?

NPPES lists New Mexico license number MD2021-0620, as entered by the provider. Search the New Mexico Medical Board at https://www.nmmb.state.nm.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Matthew Wharton prescribe under Medicare Part D?

In 2024, Matthew Wharton had 25 Medicare Part D claims; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Matthew Wharton's MIPS final score?

The 2023 MIPS final score is 85.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.