DR. MATTHEW RYAN MYNSBERGE D.D.S.
NPI 1194953992
Dentist - Oral and Maxillofacial Surgery in Greenbrae, CA

Active since June 30, 2009PECOS Enrolled
1331 S ELISEO DR, GREENBRAE, CA 94904(415) 461-1150 Get Directions Write a Review

NPPES record last updated: May 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Ryan Mynsberge D.d.s. NPPES

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

DR. MATTHEW RYAN MYNSBERGE D.D.S. (NPI 1194953992) is an individual oral and maxillofacial surgery provider in Greenbrae, California, licensed in California (62180) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194953992
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MATTHEW RYAN MYNSBERGECredential: D.D.S.
Location Address1331 S ELISEO DRGreenbrae, CA 94904-2010
Mailing Address1331 S Eliseo DrGreenbrae, CA 94904-2010 · (415) 461-1150
Sole ProprietorNo
Enumeration DateJune 30, 2009
Last NPPES UpdateMay 6, 2013
NPI 1194953992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 62180
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1331 S ELISEO DR, Greenbrae, CA 94904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Matthew Ryan Mynsberge D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94904 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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 4

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

Dentist (General Practice)
1331 S ELISEO DR
GREENBRAE, CA 94904
Dentist (Oral and Maxillofacial Pathology)
1331 S ELISEO DR
GREENBRAE, CA 94904
Dentist (General Practice)
1331 S ELISEO DR
GREENBRAE, CA 94904
Dentist (General Practice)
1331 S ELISEO DR
GREENBRAE, CA 94904

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 Mynsberge's NPI number?

The NPI number for Matthew Mynsberge is 1194953992. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Matthew Mynsberge located?

Matthew Mynsberge practices at 1331 S Eliseo Dr, Greenbrae, CA 94904. The listed phone number is (415) 461-1150.

What is Matthew Mynsberge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Matthew Mynsberge enrolled in Medicare?

Yes. Matthew Mynsberge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Mynsberge was last updated on May 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.