AMY KAYE MATSUMOTO RD
NPI 1124750187
Dietitian, Registered in Salisbury, NC

Q: What is Amy Matsumoto's NPI number?

The NPI number for Amy Matsumoto is 1124750187. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Q: What is Amy Matsumoto's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Matsumoto was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 28, 2022Accepts Medicare Assignment

501 N MAIN ST, SALISBURY, NC 28144(980) 330-6808(980) 330-6938 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Amy Kaye Matsumoto Rd NPPES

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

AMY KAYE MATSUMOTO RD (NPI 1124750187) is an individual dietitian, registered in Salisbury, North Carolina, licensed in North Carolina (L006973) and active in the NPI registry since June 2022. She maintains a secondary practice location in Charlotte and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124750187

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameAMY KAYE MATSUMOTOCredential: RD

Location Address501 N MAIN STSalisbury, NC 28144-4303

Mailing AddressPo Box 604050Charlotte, NC 28260-4050 · (864) 423-4266

Phone(980) 330-6808

Fax(980) 330-6938

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 28, 2022

Last NPPES UpdateMarch 20, 2024

NPPES CertifiedMarch 20, 2024

✔ NPI 1124750187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NC · L006973

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

501 N MAIN ST, Salisbury, NC 28144

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Secondary Practice Location 1

Location 13545 Whitehall Park Dr Ste 300Charlotte, NC 28273-4179 · Phone (704) 316-5982

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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

Amy Kaye Matsumoto Rd 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 ID7911382916

PECOS Enrollment IDI20220912001609

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28144 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

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

CHLOE BLAINE COCKERAM RD

Dietitian, Registered