DR. MATTHEW G MACDOUGALL M.D.
NPI 1053638320
Neurological Surgery in San Francisco, CA

Q: What is Matthew Macdougall's NPI number?

The NPI number for Matthew Macdougall is 1053638320. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Q: What is Matthew Macdougall's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Active since April 27, 2010PECOS EnrolledAccepts Medicare Assignment

1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 600-0528(415) 369-1207 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2020, Jul 11, 2016 (2 updates tracked since 2016).

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About Dr. Matthew G Macdougall M.d. NPPES

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

DR. MATTHEW G MACDOUGALL M.D. (NPI 1053638320) is an individual neurological surgery provider in San Francisco, California, licensed in California (A115686) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Southern California Keck School Of Medicine (2009).

NPPES Registry Identity

NPI1053638320

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. MATTHEW G MACDOUGALLCredential: M.D.

Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (415) 600-0528 · Fax (415) 369-1207

Phone(415) 600-0528

Fax(415) 369-1207

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2009

Enumeration DateApril 27, 2010

Last NPPES UpdateMay 6, 20202 updates tracked since enumeration

NPPES CertifiedMay 6, 2020

✔ NPI 1053638320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in CA · A115686

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

1100 VAN NESS AVE, San Francisco, CA 94109

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Secondary Practice Locations 2

Location 1213 Quarry Rd # Mc5958Palo Alto, CA 94304-1416 · Phone (650) 723-6469

Location 2165 Rowland WayNovato, CA 94945-5038 · Phone (415) 600-0528 · Fax (415) 369-1207

Other Identifiers 1

OtherA115686CA · State Medical License

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. Matthew G Macdougall 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 ID8325333693

PECOS Enrollment IDI20160825001139

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 8

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

121 services91 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

67 services67 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

23 services14 patients

Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays 61886

This procedure involves placing a small device, called a neurostimulator, in your brain. It sends electrical impulses via 2 or more connected electrodes to specific brain areas to help control symptoms. It's a safe and common procedure.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 20

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

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