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DR. MATTHEW MIZUKAWA D.M.D.
NPI 1013100551
Dentist - Oral and Maxillofacial Surgery in Nashville, TN

Active since August 18, 2007Opted out of Medicare · through Jan 1, 2028
1623 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 343-9403 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Mizukawa D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW MIZUKAWA D.M.D. (NPI 1013100551) is an individual oral and maxillofacial surgery provider in Nashville, Tennessee, licensed in Tennessee (TN 9578) and active in the NPI registry since August 2007. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013100551
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MATTHEW MIZUKAWACredential: D.M.D.
Location Address1623 THE VANDERBILT CLINICNashville, TN 37232-0001
Mailing Address1623 The Vanderbilt ClinicNashville, TN 37232-0001 · (615) 343-9403
Phone(615) 343-9403
Sole ProprietorNo
Enumeration DateAugust 18, 2007
Last NPPES UpdateDecember 10, 2012
✔ NPI 1013100551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TN · TN 9578
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1623 THE VANDERBILT CLINIC, Nashville, TN 37232
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Matthew Mizukawa D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JEANNIE MARGO WOOD FNP-BC, MSN, RN
Nurse Practitioner (Family)
1623 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 343-9404
ERIK JENS NIELSEN D.D.S.
Oral & Maxillofacial Surgery
1623 THE VANDERBILT CLINIC, VANDERBILT UNIVERSITY MEDICAL CENTER
NASHVILLE, TN 37232
Davidson County (615) 343-9403
NICHOLAS PIEMONTESI D.M.D.
Student in an Organized Health Care Education/Training Program
1623 THE VANDERBILT CLINIC, DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY
NASHVILLE, TN 37232
Davidson County (615) 343-9403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Mizukawa's NPI number?

The NPI number for Matthew Mizukawa is 1013100551. It was assigned to this individual provider in the NPPES registry on August 18, 2007.

Where is Matthew Mizukawa located?

Matthew Mizukawa practices at 1623 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 343-9403.

What is Matthew Mizukawa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Matthew Mizukawa enrolled in Medicare?

No. Matthew Mizukawa has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Matthew Mizukawa accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 7 other insurers list Matthew Mizukawa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Mizukawa was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.