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MATTHEW KUBASTA NURSE PRACTITIONER
NPI 1063985455
Nurse Practitioner - Psychiatric/Mental Health in Concord, CA

Active since January 08, 2019PECOS EnrolledAccepts Medicare Assignment
78.73/100
CMS Quality Rating
1420 WILLOW PASS RD, CONCORD, CA 94520(925) 646-5480 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2021, Oct 3, 2019, Jan 8, 2019 (3 updates tracked since 2019).

About Matthew Kubasta Nurse Practitioner NPPES

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

MATTHEW KUBASTA NURSE PRACTITIONER (NPI 1063985455) is an individual psychiatric/mental health provider in Concord, California, licensed in California (9501588) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063985455
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMATTHEW KUBASTACredential: NURSE PRACTITIONER
Location Address1420 WILLOW PASS RDConcord, CA 94520
Mailing Address231 Avocado PlBrentwood, CA 94513-1908 · (510) 760-4803
Phone(925) 646-5480
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 8, 2019
Last NPPES UpdateDecember 20, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1063985455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 9501588
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1420 WILLOW PASS RD, Concord, CA 94520
Open in Google Maps ↗

Secondary Practice Location 1

Location 1747 52nd StOakland, CA 94609 · Phone (510) 428-3571

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

Matthew Kubasta Nurse Practitioner 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 ID7618375718
PECOS Enrollment IDI20211004001925
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 4

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.

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.
284 services138 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
156 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services15 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.
39 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94520 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

78.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.85
Promoting Interoperability94
Improvement Activities40
Cost55.1

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.

CONTRA COSTA COUNTY
Clinic/Center (Adult Mental Health)
1420 WILLOW PASS RD
CONCORD, CA 94520
Contra Costa County (925) 646-5480
JOHN KAYODE OJEWOLE LMFT
Marriage & Family Therapist
1420 WILLOW PASS RD, SUITE 200
CONCORD, CA 94520
Contra Costa County (925) 646-5480
ZIBA RAHIMZADEH PHD
Psychologist
1420 WILLOW PASS RD, SUITE 200
CONCORD, CA 94520
Contra Costa County (925) 646-5768
MARIA SANTOS KIM
Counselor (Mental Health)
1420 WILLOW PASS RD, 200
CONCORD, CA 94520
Contra Costa County (925) 521-5115
CANDICE J. TOYODA LPCC
Counselor (Mental Health)
1420 WILLOW PASS RD, SUITE 140
CONCORD, CA 94520
Contra Costa County (925) 646-5441
DR. ANNETTE MEARS PSY.D.
Psychologist
1420 WILLOW PASS RD
CONCORD, CA 94520
Contra Costa County (925) 646-5813
MS. PATRICIA KATE FINNEGAN MFT
Marriage & Family Therapist
1420 WILLOW PASS RD
CONCORD, CA 94520
Contra Costa County (925) 646-5480
JOY WITT
Day Training/Habilitation Specialist
1420 WILLOW PASS RD, 200
CONCORD, CA 94520
Contra Costa County (925) 521-5100

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 Kubasta's NPI number?

The NPI number for Matthew Kubasta is 1063985455. It was assigned to this individual provider in the NPPES registry on January 8, 2019.

Where is Matthew Kubasta located?

Matthew Kubasta practices at 1420 Willow Pass Rd, Concord, CA 94520. The listed phone number is (925) 646-5480.

What is Matthew Kubasta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Matthew Kubasta enrolled in Medicare?

Yes. Matthew Kubasta 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 Matthew Kubasta was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.