ALAN KEN MATSUMOTO M.D.
NPI 1043219298
Internal Medicine - Rheumatology in Wheaton, MD

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
77.12/100
CMS Quality Rating
2730 UNIVERSITY BLVD W, SUITE 310, WHEATON, MD 20902(301) 942-7600(301) 942-3132 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alan Ken Matsumoto M.d. NPPES

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

ALAN KEN MATSUMOTO M.D. (NPI 1043219298) is an individual rheumatology provider in Wheaton, Maryland, licensed in Maryland (D0036867) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1985).

NPPES Registry Identity

NPI1043219298
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameALAN KEN MATSUMOTOCredential: M.D.
Location Address2730 UNIVERSITY BLVD W, SUITE 310Wheaton, MD 20902-1905
Mailing Address2730 University Blvd W, Suite 310Wheaton, MD 20902-1905 · (301) 942-7600 · Fax (301) 942-3132
Fax(301) 942-3132
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1985
Enumeration DateJuly 19, 2005
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
NPI 1043219298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MD · D0036867
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2730 UNIVERSITY BLVD W, Wheaton, MD 20902

Other Identifiers 10

Other52147007MD · Carefirst Of Maryland
Other0009DC · Carefirst Of Dc
Other0004482962Aetna
Other493058Ncppo
Medicaid090361200MD
Other21470Priority Partners
Other397348Alliance
Other7169832Mamsi
Other1847871United Healthcare
Other103774First Health

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alan Ken Matsumoto M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143250365
PECOS Enrollment IDI20050817000806
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 63

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
39,720 services22 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
32,130 services43 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
26,880 services343 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
13,950 services30 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
13,150 services26 patients
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg Q5104
Infliximab-abda (Renflexis) is a biosimilar medication given via injection. It's used to treat certain autoimmune conditions by reducing inflammation and immune system activity. The dosage is 10 mg.
4,750 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20902 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost23.74

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier13 claims18 services$51.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Podiatrist (Foot & Ankle Surgery)
2730 UNIVERSITY BLVD W, SUITE 1000
WHEATON, MD 20902
Podiatrist
2730 UNIVERSITY BLVD W, SUITE 1000
WHEATON, MD 20902
Internal Medicine (Rheumatology)
2730 UNIVERSITY BLVD W, SUITE 310
WHEATON, MD 20902
Anesthesiology
2730 UNIVERSITY BLVD W, STE 104
WHEATON, MD 20902
Specialist
2730 UNIVERSITY BLVD W, 400
WHEATON, MD 20902
Surgery
2730 UNIVERSITY BLVD W, SUITE 216
WHEATON, MD 20902
Physical Therapist
2730 UNIVERSITY BLVD W, SUITE 812
WHEATON, MD 20902
Anesthesiology
2730 UNIVERSITY BLVD W, STE 104
WHEATON, MD 20902

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 Alan Matsumoto's NPI number?

The NPI number for Alan Matsumoto is 1043219298. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Alan Matsumoto located?

Alan Matsumoto practices at 2730 University Blvd W Suite 310, Wheaton, MD 20902. The listed phone number is (301) 942-7600.

What is Alan Matsumoto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Alan Matsumoto enrolled in Medicare?

Yes. Alan Matsumoto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alan Matsumoto was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.