Dr. Mathew Most, MD - Orthopaedic Surgery in Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Mathew Most, MD is a certified Orthopaedic Surgery practicing in Worcester, MA. With approximately 24 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 2002, Dr. Most delivers high-quality medical care to the local community at 119 BELMONT ST.

Dr. Most is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, 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

119 Belmont St
Department Of Orthopedics

Worcester, MA 016052903

Telephone 5083341955

Associated Practice Facility / Clinic

🏢 Coordinated Primary Care, Inc. Facility NPI 1649241019

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -0.3 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

46 Specialists

Practicing in Worcester, MA (746 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Most (24 Years) 24 Yrs

Worcester Specialty Average (24.3 Years) 24.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	254	$445.00	$96.40
99213 Established patient office or other outpatient visit, typically 15 minutes	235	196	$300.00	$64.94
20610 Aspiration and/or injection of fluid from large joint	141	80	$347.38	$49.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$547.00	$130.59
27447 Replacement of knee joint, both sides of knee	36	35	$7555.19	$1240.12
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$7445.36	$1307.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$684.00	$179.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$641.47	$143.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$667.00	$170.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	190	$399.41	$98.32
99213 Established patient office or other outpatient visit, typically 15 minutes	221	181	$281.25	$66.47
20610 Aspiration and/or injection of fluid from large joint	128	76	$440.86	$50.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$547.00	$135.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	25	$501.96	$146.07
27447 Replacement of knee joint, both sides of knee	26	26	$7492.37	$1319.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$684.00	$184.31
27130 Replacement of thigh bone and hip joint with prosthesis	17	16	$6949.00	$1315.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$667.00	$176.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$359.00	$84.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	180	$359.00	$101.12
99213 Established patient office or other outpatient visit, typically 15 minutes	211	163	$244.00	$69.42
20610 Aspiration and/or injection of fluid from large joint	130	78	$429.00	$51.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$547.00	$140.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$359.00	$84.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	20	$482.00	$151.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$450.00	$139.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$684.00	$190.77
27447 Replacement of knee joint, both sides of knee	15	15	$7841.07	$1304.00
27447 Replacement of knee joint, both sides of knee	13	12	$7351.00	$1346.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	158	$239.71	$69.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	128	$357.38	$103.44
20610 Aspiration and/or injection of fluid from large joint	116	67	$466.55	$56.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$537.06	$142.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$479.59	$153.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$355.67	$87.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$684.00	$193.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	184	$214.00	$54.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	113	$316.00	$83.16
20610 Aspiration and/or injection of fluid from large joint	118	69	$472.63	$59.76
99442 Telephone medical discussion with physician, 11-20 minutes	26	25	$214.54	$54.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$489.00	$137.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$349.00	$80.13
27447 Replacement of knee joint, both sides of knee	15	14	$7596.03	$1484.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$429.00	$114.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	319	243	$212.82	$53.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	145	$313.71	$81.51
20610 Aspiration and/or injection of fluid from large joint	132	89	$452.50	$57.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$487.30	$131.68
27447 Replacement of knee joint, both sides of knee	33	30	$7573.76	$1467.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$348.13	$79.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$428.36	$116.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$616.00	$176.32
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$7264.86	$1333.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	311	235	$199.00	$53.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	142	$296.00	$81.34
20610 Aspiration and/or injection of fluid from large joint	172	111	$416.34	$54.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$479.00	$130.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$342.00	$79.74
27447 Replacement of knee joint, both sides of knee	35	34	$7561.03	$1447.47
27130 Replacement of thigh bone and hip joint with prosthesis	15	14	$6949.00	$1435.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	313	223	$199.00	$52.15
20610 Aspiration and/or injection of fluid from large joint	155	103	$470.52	$57.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	79	$296.00	$80.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$339.49	$78.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$476.00	$132.40
27447 Replacement of knee joint, both sides of knee	28	26	$7351.00	$1405.47

Medical Specialties & State Licenses

CMS Verified: 2020-10-28

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 238208

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2161613 (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Ankur Narain , MD

Orthopaedic Surgery

NPI 1023408242

Doctor of Medicine (M.D.)

Dr. Marshall Katzen , MD

Orthopaedic Surgery

NPI 1326140682

Doctor of Medicine (M.D.)

Daniel Trainor

Physician Assistant

NPI 1700474046

Dr. Joseph Pugleasa , MD

Internal Medicine - Sports Medicine

NPI 1720010150

Doctor of Medicine (M.D.)

Dr. Daniel Mandell , MD

Orthopaedic Surgery

NPI 1851739544

Doctor of Medicine (M.D.)

Giseberte Joseph , NP

Nurse Practitioner - Acute Care

NPI 1982851341

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location October 28, 2020

Registered at 119 BELMONT ST, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 016052903 (Tel: 5083341955)

📍

Updated Practice Location June 20, 2018

Registered at 119 BELMONT ST, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 01605 (Tel: 5083341955)

📍

Updated Business Mailing Address June 20, 2018

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated June 20, 2018

Recorded as MATHEW MOST, MD

✅

NPI Profile Active April 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 08, 2011

Registered at 119 BELMONT ST, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 016052903 (Tel: 5083341955)

📍

Updated Business Mailing Address April 08, 2011

Registered at PO BOX 415348, DEPARTMENT OF ORTHOPEDICS, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated April 08, 2011

Recorded as MATTHEW MOST, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2011

Orthopaedic Surgery (License #238208 in MA)

🟢

Initial NPI Registration & Enumeration June 04, 2007

First registered as active Individual Practitioner in NPPES Database.

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Dr. Mathew J. Most , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Additional State Medicaid & Healthcare Payer Identifiers

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

Umass Memorial Medical Group Inc

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address