Active NPI 1225001357 Individual Practitioner Male Practitioner

Dr. Matthew Ryan Grafenberg , MD

Otolaryngology • Pinehurst, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Grafenberg, MD is a certified Otolaryngology practicing in Pinehurst, NC. With approximately 24 years of clinical experience since graduating from Uniformed Services Uhs Fe Hebert School Of Med in 2002, Dr. Grafenberg delivers high-quality medical care to the local community at 5 FIRSTVILLAGE DRIVE.

Dr. Grafenberg maintains professional affiliations with Pinehurst Surgical Clinic Pa, Mcpc-9 Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, professional service for preparation and provision of, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5 Firstvillage Drive

Pinehurst, NC 28374

Telephone 9102956831

Fax 9102950244

Associated Practice Facility / Clinic

🏢 Pinehurst Surgical Clinic Pa Facility NPI 1962434324

Medicare Profile & Education

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Pinehurst, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -5.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Pinehurst, NC (418 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grafenberg (24 Years) 24 Yrs

Pinehurst Specialty Average (29.5 Years) 29.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	428	295	$334.59	$84.70
95165 Professional service for preparation and provision of 1 or more antigens	400	17	$57.00	$12.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	219	219	$588.88	$156.12
95117 Professional service for multiple injections of allergen	127	11	$44.00	$10.41
69210 Removal of impacted ear wax	100	86	$192.95	$44.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	76	$482.24	$119.26
31231 Diagnostic examination of nasal passages using an endoscope	83	69	$770.62	$167.68
92511 Exam of the nose and throat using an endoscope	72	66	$476.02	$108.52
95810 Sleep monitoring of patient (6 years or older) in sleep lab	46	46	$459.00	$111.09
92504 Exam of ear using a microscope	39	29	$115.65	$26.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$405.05	$104.54
36415 Insertion of needle into vein for collection of blood sample	32	28	$25.00	$8.47
70486 CT scan of face	25	25	$511.36	$121.84
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	22	20	$476.00	$115.46
92557 Comprehensive hearing and speech recognition test	19	18	$145.87	$32.72
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	19	19	$171.00	$41.39
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	16	$24.00	$5.71
92567 Eardrum testing using ear probe	15	15	$63.83	$15.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	450	17	$34.33	$14.25
99213 Established patient office or other outpatient visit, typically 15 minutes	427	287	$250.46	$85.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	196	196	$497.45	$158.28
95115 Injection of incremental dosages of allergen	122	15	$28.29	$9.39
69210 Removal of impacted ear wax	97	88	$174.87	$45.39
95117 Professional service for multiple injections of allergen	90	11	$38.78	$10.95
95810 Sleep monitoring of patient (6 years or older) in sleep lab	77	77	$424.74	$119.85
36415 Insertion of needle into vein for collection of blood sample	59	51	$23.17	$8.40
31575 Diagnostic exam of voice box using a flexible endoscope	58	51	$414.09	$121.77
92511 Exam of the nose and throat using an endoscope	57	57	$407.11	$112.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	49	$347.39	$123.17
92504 Exam of ear using a microscope	46	28	$86.82	$27.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$326.40	$107.68
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	32	30	$488.29	$116.76
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	31	26	$37.00	$7.61
80048 Blood test, basic group of blood chemicals (calcium, total)	26	23	$50.65	$8.29
70486 CT scan of face	23	22	$716.70	$127.10
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	22	$32.73	$5.92
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	15	14	$208.73	$39.83
95976 Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming	14	13	$156.14	$38.52
64582 Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode	13	13	$3303.92	$552.33
30901 Simple control of nose bleed	12	11	$396.46	$151.06
82565 Blood creatinine level	12	11	$31.00	$5.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	466	315	$147.44	$88.06
95165 Professional service for preparation and provision of 1 or more antigens	400	18	$23.00	$14.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	239	239	$331.27	$161.80
95115 Injection of incremental dosages of allergen	118	13	$23.00	$8.97
69210 Removal of impacted ear wax	111	100	$148.98	$44.84
31575 Diagnostic exam of voice box using a flexible endoscope	81	76	$353.12	$124.92
95810 Sleep monitoring of patient (6 years or older) in sleep lab	80	79	$381.81	$118.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	70	$216.33	$124.71
92504 Exam of ear using a microscope	73	59	$70.25	$28.07
92511 Exam of the nose and throat using an endoscope	60	59	$324.67	$114.85
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	59	58	$501.80	$114.87
36415 Insertion of needle into vein for collection of blood sample	54	44	$21.00	$2.97
92567 Eardrum testing using ear probe	47	47	$52.25	$16.19
92557 Comprehensive hearing and speech recognition test	44	44	$137.89	$36.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$207.60	$109.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	20	$37.00	$7.68
82565 Blood creatinine level	19	19	$31.00	$5.05
95971 Electronic analysis and programming of implanted simple spinal cord or peripheral neurostimulator generator system during or after surgery, first hour	18	12	$351.11	$48.03
80048 Blood test, basic group of blood chemicals (calcium, total)	18	15	$57.00	$8.37
70486 CT scan of face	18	18	$908.00	$129.83
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	12	12	$48.00	$5.77
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	11	11	$235.73	$44.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	443	291	$148.86	$89.10
95165 Professional service for preparation and provision of 1 or more antigens	240	11	$23.00	$15.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	213	213	$338.87	$163.29
69210 Removal of impacted ear wax	119	102	$155.13	$46.25
95115 Injection of incremental dosages of allergen	108	14	$23.00	$8.80
95810 Sleep monitoring of patient (6 years or older) in sleep lab	107	107	$371.89	$120.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$216.85	$108.81
31575 Diagnostic exam of voice box using a flexible endoscope	73	70	$365.53	$124.36
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	62	57	$494.54	$124.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	59	$215.48	$125.79
92511 Exam of the nose and throat using an endoscope	62	55	$344.43	$114.58
92504 Exam of ear using a microscope	50	37	$84.38	$28.15
36415 Insertion of needle into vein for collection of blood sample	36	31	$21.00	$2.92
30117 Removal or destruction of growth in nose	26	13	$2687.00	$724.74
82565 Blood creatinine level	15	14	$31.00	$5.12
70486 CT scan of face	14	14	$908.00	$134.29
31231 Diagnostic examination of nasal passages using an endoscope	14	12	$698.12	$102.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	11	$37.00	$7.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	509	322	$147.26	$72.34
95004 Test for allergy using allergenic extract	494	13	$23.00	$4.02
95024 Injection of allergenic extracts into skin for immediate reaction analysis	338	11	$19.00	$7.75
95165 Professional service for preparation and provision of 1 or more antigens	310	17	$23.00	$13.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	245	245	$224.53	$103.86
95115 Injection of incremental dosages of allergen	134	18	$23.00	$8.74
31575 Diagnostic exam of voice box using a flexible endoscope	113	103	$359.64	$118.96
69210 Removal of impacted ear wax	104	85	$154.84	$45.06
95810 Sleep monitoring of patient (6 years or older) in sleep lab	75	73	$351.33	$122.89
92504 Exam of ear using a microscope	69	55	$80.64	$27.53
92511 Exam of the nose and throat using an endoscope	60	52	$357.78	$108.78
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	52	50	$499.08	$127.38
36415 Insertion of needle into vein for collection of blood sample	42	37	$21.00	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$210.56	$106.26
70486 CT scan of face	20	19	$890.75	$127.66
82565 Blood creatinine level	15	15	$31.00	$5.08
92557 Comprehensive hearing and speech recognition test	11	11	$135.72	$34.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	649	412	$137.18	$70.66
95165 Professional service for preparation and provision of 1 or more antigens	490	20	$23.00	$13.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	321	321	$203.24	$104.25
95115 Injection of incremental dosages of allergen	197	24	$24.41	$8.63
31575 Diagnostic exam of voice box using a flexible endoscope	174	152	$374.18	$111.79
69210 Removal of impacted ear wax	162	134	$168.04	$43.59
92511 Exam of the nose and throat using an endoscope	101	86	$379.91	$106.10
95117 Professional service for multiple injections of allergen	93	15	$34.95	$9.97
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	65	61	$539.31	$137.94
36415 Insertion of needle into vein for collection of blood sample	62	49	$21.00	$2.87
92504 Exam of ear using a microscope	56	40	$82.99	$27.32
95810 Sleep monitoring of patient (6 years or older) in sleep lab	51	51	$447.35	$148.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$214.97	$105.39
92557 Comprehensive hearing and speech recognition test	29	28	$125.53	$37.41
92567 Eardrum testing using ear probe	26	25	$49.57	$14.82
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	25	25	$211.24	$47.24
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	17	$37.00	$8.16
82565 Blood creatinine level	18	16	$31.00	$5.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$320.71	$159.36
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	15	$48.00	$7.78
80048 Blood test, basic group of blood chemicals (calcium, total)	15	14	$57.00	$8.97
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	15	13	$1948.70	$303.19
30901 Simple control of nose bleed	15	14	$317.92	$126.93
70486 CT scan of face	13	13	$908.00	$123.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	791	486	$141.69	$68.59
95165 Professional service for preparation and provision of 1 or more antigens	520	25	$23.00	$12.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	406	406	$207.50	$101.71
69210 Removal of impacted ear wax	238	191	$172.42	$44.32
31575 Diagnostic exam of voice box using a flexible endoscope	199	181	$384.34	$105.41
92511 Exam of the nose and throat using an endoscope	151	129	$437.27	$101.13
95115 Injection of incremental dosages of allergen	138	24	$23.71	$8.17
95117 Professional service for multiple injections of allergen	103	15	$34.32	$9.34
92504 Exam of ear using a microscope	85	63	$87.10	$26.90
36415 Insertion of needle into vein for collection of blood sample	81	68	$21.00	$2.92
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	71	66	$550.12	$138.07
95810 Sleep monitoring of patient (6 years or older) in sleep lab	62	59	$510.49	$149.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	50	$207.94	$103.11
70486 CT scan of face	34	33	$908.00	$131.53
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	24	24	$37.00	$9.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$320.09	$157.75
80048 Blood test, basic group of blood chemicals (calcium, total)	22	22	$57.00	$10.23
82565 Blood creatinine level	17	17	$31.00	$5.61
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	17	11	$2044.75	$348.61
95992 Repositioning maneuvers for treatment of vertigo, per day	17	14	$138.25	$42.07
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$48.00	$7.84
10021 Fine needle aspiration biopsy, first growth	13	13	$535.27	$116.22
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	12	12	$32.00	$4.29
30901 Simple control of nose bleed	11	11	$296.94	$128.89
69200 Removal of foreign body from ear canal	11	11	$321.93	$68.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	779	501	$142.32	$68.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	418	418	$211.63	$101.22
95165 Professional service for preparation and provision of 1 or more antigens	352	17	$24.86	$10.95
92511 Exam of the nose and throat using an endoscope	312	280	$431.00	$102.54
69210 Removal of impacted ear wax	249	216	$171.67	$45.74
95115 Injection of incremental dosages of allergen	93	24	$24.94	$8.14
95810 Sleep monitoring of patient (6 years or older) in sleep lab	84	83	$435.56	$122.46
92504 Exam of ear using a microscope	84	67	$89.22	$26.17
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	65	60	$553.06	$134.85
36415 Insertion of needle into vein for collection of blood sample	65	57	$21.00	$2.94
95117 Professional service for multiple injections of allergen	51	13	$35.30	$8.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	46	$220.43	$97.93
70486 CT scan of face	38	38	$908.00	$128.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$338.19	$156.25
82565 Blood creatinine level	19	19	$31.00	$6.21
69200 Removal of foreign body from ear canal	19	17	$305.10	$74.17
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	17	11	$1979.69	$327.57
80048 Blood test, basic group of blood chemicals (calcium, total)	15	14	$57.00	$10.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	13	$37.00	$10.45
30901 Simple control of nose bleed	12	11	$279.46	$90.44

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License NC 2008-00324

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Hospital & Practice Group Affiliations

Mcpc-9 Llc

6322 Fayetteville Rd, Raeford, NC 283767979

Phone: 9108785150

Mcpc-9 Llc

155 Memorial Dr, Pinehurst, NC 283748710

Mcpc-9 Llc

155 Memorial Dr, Pinehurst, NC 283748710

Mcpc-9 Llc

809 S Long Dr, Rockingham, NC 283794377

Phone: 9104174096

Pinehurst Surgical Clinic Pa

5 1st Village Dr, Pinehurst, NC 283749495

Phone: 9102956831

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Toni Anne Washington , MD

Anesthesiology

NPI 1003877218

Doctor of Medicine (M.D.)

Dr. Olufunsho Adamolekun , DO

Surgery - Vascular Surgery

NPI 1013210459

Doctor of Osteopathic Medicine (D.O.)

Chad Cole , PA

Physician Assistant

NPI 1013975481

Physician Assistant

Stephen Bush , PA-C

Physician Assistant

NPI 1033532791

Physician Assistant (Certified)

James Nichols , PA-C

Physician Assistant - Surgical

NPI 1043241763

Physician Assistant (Certified)

Dr. Reid Vegeler , MD

Surgery

NPI 1043471121

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location September 11, 2018

Registered at 5 FIRSTVILLAGE DRIVE, PINEHURST, NC 28374 (Tel: 9102956831)

📍

Updated Business Mailing Address September 11, 2018

Registered at 5 FIRSTVILLAGE DRIVE, PO BOX 2000, PINEHURST, NC 28374 (Tel: 9102956831)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2018

Otolaryngology (License #2008-00324 in NC)

✅

NPI Profile Active July 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2013

Registered at 16408 85TH AVENUE CT E, PUYALLUP, WA 983756292 (Tel: 2534355422)

📍

Updated Business Mailing Address July 11, 2013

Registered at 3030 MUIRFIELD AVE, FAYETTEVILLE, NC 28306 (Tel: 2538202887)

👤

Provider Name / Credentials Updated July 11, 2013

Recorded as MATTHEW GRAFENBERG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2013

Otolaryngology (License #2008-00324 in NC)

🟢

Initial NPI Registration & Enumeration February 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225001357

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 09, 2006

Last Update: September 11, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5 Firstvillage Drive, Po Box 2000

Pinehurst, NC 28374

Phone: 9102956831

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.