MATTHEW JAMES COATES M.D.
NPI 1073762217
Surgery in Modesto, CA

Active since September 11, 2008PECOS EnrolledAccepts Medicare Assignment
1001 SYLVAN AVE STE A, MODESTO, CA 95350(209) 248-7168(209) 846-9641 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Jul 21, 2022, May 31, 2017 (3 updates tracked since 2017).

About Matthew James Coates M.d. NPPES

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

MATTHEW JAMES COATES M.D. (NPI 1073762217) is an individual surgery provider in Modesto, California, licensed in California (A105497) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Stockton, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073762217
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMATTHEW JAMES COATESCredential: M.D.
Location Address1001 SYLVAN AVE STE AModesto, CA 95350-1699
Mailing Address1001 Sylvan Ave Ste AModesto, CA 95350-1699 · (209) 248-7168 · Fax (209) 846-9641
Fax(209) 846-9641
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 11, 2008
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
NPI 1073762217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A105497
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1001 SYLVAN AVE STE A, Modesto, CA 95350

Secondary Practice Location 1

Location 1644 E Harding Way Ste BStockton, CA 95204-6103 · Phone (209) 248-7168

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 James Coates 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 ID5799955738
PECOS Enrollment IDI20110830000163
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 6

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 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.
413 services207 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.
320 services114 patients
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.
41 services39 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.
38 services38 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.
34 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
29 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 7

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

Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Nurse Practitioner (Family)
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Physician Assistant (Surgical)
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Surgery (Trauma Surgery)
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Physician Assistant (Surgical)
1001 SYLVAN AVE STE A
MODESTO, CA 95350

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 Coates's NPI number?

The NPI number for Matthew Coates is 1073762217. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Where is Matthew Coates located?

Matthew Coates practices at 1001 Sylvan Ave Ste A, Modesto, CA 95350. The listed phone number is (209) 248-7168.

What is Matthew Coates's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Coates enrolled in Medicare?

Yes. Matthew Coates 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 Coates was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.