Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Hoderlein, PA-C

Individual provider Physician Assistant · NPI 1811663875

Matthew Hoderlein, PA-C is a Physician Assistant in Penfield, New York. Qualified in 2021, 5 years ago. Practices with Penfield Psychiatry PC, a 23-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

481 Penbrooke Dr Ste 6
Penfield, NY 14526-2044
Phone: (585) 388-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 293 Winona Blvd, Rochester, NY 14617-3725 — (585) 474-5573
  • 295 Troy Rd, Rochester, NY 14618-2906 — (585) 474-5573

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 028362 (NY)

Record details

NPI number1811663875
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2021
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Penfield Psychiatry Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Penfield