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DR. GARY L. MATSON JR. D.O.
NPI 1154344695
Family Medicine in San Diego, CA

Active since July 25, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0570186 · Microscopy
4501 MISSION BAY DR, SUITE 3E, SAN DIEGO, CA 92109(858) 270-4343(858) 272-1731 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary L. Matson Jr. D.o. NPPES

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

DR. GARY L. MATSON JR. D.O. (NPI 1154344695) is an individual family medicine provider in San Diego, California, licensed in California (20A6263) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1991).

NPPES Registry Identity

NPI1154344695
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GARY L. MATSON JR.Credential: D.O.
Location Address4501 MISSION BAY DR, SUITE 3ESan Diego, CA 92109-4923
Mailing Address4501 Mission Bay Dr, Suite 3eSan Diego, CA 92109-4923 · (858) 270-4343 · Fax (858) 272-1731
Phone(858) 270-4343
Fax(858) 272-1731
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1991
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154344695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A6263
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4501 MISSION BAY DR, San Diego, CA 92109
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Other Identifiers 1

Medicare UPINF75512CA

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. Gary L. Matson Jr. D.o. 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 ID4486781036
PECOS Enrollment IDI20100429001150
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0570186

Gary L Matson Do · San Diego, CA
Active · expires Aug 31, 2026
CLIA Number05D0570186
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorClifford J. Ward MD
Laboratory Phone(619) 276-8223
Laboratory LocationGary L Matson Do4501 Mission Bay Dr Suite 3E, San Diego, CA 92109
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 5

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 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.
208 services78 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.
91 services60 patients
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.
40 services27 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.
16 services16 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92109 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 3

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

CRS PHYSICAL THERAPY INC.
Physical Therapist
4501 MISSION BAY DR, SUITE 3K
SAN DIEGO, CA 92109
San Diego County (858) 866-0340
JAMES SCALONE DO INCORPORATED
Orthopaedic Surgery
4501 MISSION BAY DR, SUITE 2B
SAN DIEGO, CA 92109
San Diego County (858) 272-1220
DR. MARY C JENNINGS MD
Obstetrics & Gynecology (Gynecology)
4501 MISSION BAY DR, #1E
SAN DIEGO, CA 92109
San Diego County (858) 270-9611

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 Gary Matson's NPI number?

The NPI number for Gary Matson is 1154344695. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Gary Matson located?

Gary Matson practices at 4501 Mission Bay Dr Suite 3E, San Diego, CA 92109. The listed phone number is (858) 270-4343.

What is Gary Matson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Matson enrolled in Medicare?

Yes. Gary Matson 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.

Does Gary Matson hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0570186) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gary Matson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.