DR. KEN MATSUO MD
NPI 1053600429
Internal Medicine in Waterbury, CT

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment
56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-8820(203) 709-3679 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ken Matsuo Md NPPES

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

DR. KEN MATSUO MD (NPI 1053600429) is an individual internal medicine provider in Waterbury, Connecticut, licensed in Connecticut (53316) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1053600429
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KEN MATSUOCredential: MD
Location Address56 FRANKLIN STWaterbury, CT 06706-1253
Mailing AddressPo Box 1090Windsor, CT 06095-6190 · (800) 925-7270 · Fax (888) 331-1015
Fax(203) 709-3679
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 6, 2011
Last NPPES UpdateAugust 18, 2014
NPI 1053600429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 53316
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 53316 (CT)
56 FRANKLIN ST, Waterbury, CT 06706

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

Dr. Ken Matsuo Md 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 ID4082834163
PECOS Enrollment IDI20141014000345
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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
119 services116 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services15 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06706 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$7.20 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.

Nurse Practitioner (Critical Care Medicine)
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Physician Assistant (Medical)
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Nurse Practitioner
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Emergency Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST
WATERBURY, CT 06706

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 Ken Matsuo's NPI number?

The NPI number for Ken Matsuo is 1053600429. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Ken Matsuo located?

Ken Matsuo practices at 56 Franklin St, Waterbury, CT 06706. The listed phone number is (203) 709-8820.

What is Ken Matsuo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ken Matsuo enrolled in Medicare?

Yes. Ken Matsuo 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 Ken Matsuo was last updated on August 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.