DR. MATTHEW S MARKERT M.D., PH.D.
NPI 1073951539
Psychiatry & Neurology - Neurology in Santa Cruz, CA

Active since June 06, 2013PECOS EnrolledAccepts Medicare Assignment
1661 SOQUEL DR STE D, SANTA CRUZ, CA 95065(831) 460-6042 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2026, Mar 6, 2025, Oct 2, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Matthew S Markert M.d., Ph.d. NPPES

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

DR. MATTHEW S MARKERT M.D., PH.D. (NPI 1073951539) is an individual neurology provider in Santa Cruz, California, licensed in California (A149300) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brockton, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073951539
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MATTHEW S MARKERTCredential: M.D., PH.D.
Location Address1661 SOQUEL DR STE DSanta Cruz, CA 95065-1709
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 6, 2013
Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1073951539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in CA · A149300✔ Licensed in MA · 1021221✔ Licensed in AL · 54208✔ Licensed in NC · 318018
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1661 SOQUEL DR STE D, Santa Cruz, CA 95065

Secondary Practice Location 1

Location 1680 Centre StBrockton, MA 02302-3308 · Phone (508) 941-7000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew S Markert M.d., Ph.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 ID4981902699
PECOS Enrollment IDI20191002002350, I20220502000402, I20231027002390, I20240413000340, I20241007002741, I20250314003453, I20251013001859
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.

Medicare Billing Reassignments

29

Medicare enrollment records show Matthew Markert reassigns Medicare billing to 29 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
6066 CIVIC TERRACE AVE
Newark, CA 94560
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
Emergency Medicine
1111 SIERRA AT TAHOE RD
Twin Bridges, CA 95735
  • Reassigned Medicare billing, California enrollment
  • 126 clinicians in this Medicare group
Family Medicine
2170 SOUTH AVE
South Lake Tahoe, CA 96150
  • Reassigned Medicare billing, California enrollment
  • 148 clinicians in this Medicare group
Specialist
100 E JACKSON AVE
Ellensburg, WA 98926
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Kittitas County Public Hospital Dist 1
  • 163 clinicians in this Medicare group
Podiatric
2964B LIMITED LN NW
Olympia, WA 98502
  • Reassigned Medicare billing, Washington enrollment
  • 154 clinicians in this Medicare group
Specialist
1135 116TH AVE NE, SUITE 110
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 566 clinicians in this Medicare group
Critical Access
6640 KANIKSU ST
Bonners Ferry, ID 83805
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1679621098 (Idaho)
  • 69 clinicians in this Medicare group
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, California and Illinois enrollments
  • 19 clinicians in this Medicare group
Family Medicine
1036 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 391 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,231 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
158 services113 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.
36 services36 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
33 services33 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
33 services33 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.
33 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 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
$141.77 typical visit price
range $62.97 – $186.69
Typical copayment $35.44 (range $15.74 – $46.67)
Most-billed visit code 99204
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
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 2

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

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$10.15 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$151.30 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 11

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

Hospitalist
1661 SOQUEL DR STE D
SANTA CRUZ, CA 95065
Hospitalist
1661 SOQUEL DR STE D
SANTA CRUZ, CA 95065
Hospitalist
1661 SOQUEL DR STE D
SANTA CRUZ, CA 95065
Internal Medicine
1661 SOQUEL DR STE D
SANTA CRUZ, CA 95065
Hospitalist
1661 SOQUEL DR STE D
SANTA CRUZ, CA 95065
Hospitalist
1661 SOQUEL DR STE D
SANTA CRUZ, CA 95065
Hospitalist
1661 SOQUEL DR STE D
SANTA CRUZ, CA 95065
Nurse Practitioner (Acute Care)
1661 SOQUEL DR STE D
SANTA CRUZ, CA 95065

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 Markert's NPI number?

The NPI number for Matthew Markert is 1073951539. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Matthew Markert located?

Matthew Markert practices at 1661 Soquel Dr Ste D, Santa Cruz, CA 95065. The listed phone number is (831) 460-6042.

What is Matthew Markert's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Matthew Markert enrolled in Medicare?

Yes. Matthew Markert 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.

Which organizations bill Medicare for Matthew Markert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Markert reassigns Medicare benefits to 29 organizations: Sutter Bay Medical Foundation (Palo Alto, CA), Alameda Health System (Newark, CA), Barton Healthcare System (Twin Bridges, CA), Barton Medical Foundation (South Lake Tahoe, CA), Kittitas County Public Hosp Dist 1 (Ellensburg, WA) and 24 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Markert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Markert accept?

Health plans from Aspirus Health Plan, CareSource, CareSource (Common Ground Healthcare), Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 8 other insurers list Matthew Markert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Markert was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.