MATTHEW DAVID HARTMAN MD
NPI 1205463171
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
1200 NORTH STATE STREET, D&T 3D321, LOS ANGELES, CA 90089(323) 409-6931 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2026, Apr 30, 2024, Aug 10, 2022 and 1 more (4 updates tracked since 2020).

About Matthew David Hartman Md NPPES

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

MATTHEW DAVID HARTMAN MD (NPI 1205463171) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A180912) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2020).

NPPES Registry Identity

NPI1205463171
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMATTHEW DAVID HARTMANCredential: MD
Location Address1200 NORTH STATE STREET, D&T 3D321Los Angeles, CA 90089
Mailing Address1200 North State Street, D&t 3d321Los Angeles, CA 90089 · (323) 409-6931
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateJune 23, 20264 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1205463171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A180912
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License A180912 (CA)
1200 NORTH STATE STREET, Los Angeles, CA 90089

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

Matthew David Hartman Md 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 ID3375052574
PECOS Enrollment IDI20260715004866
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

3

Medicare enrollment records show Matthew Hartman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
630 S RAYMOND AVE UNIT 210
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1962457812 (California)
  • 335 clinicians in this Medicare group
Diagnostic Radiology
227 WEST JANSS ROAD, SUITE 150
Thousand Oaks, CA 91360
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
Diagnostic Radiology
72855 FRED WARING DR
Palm Desert, CA 92260
  • Reassigned Medicare billing, California enrollment
  • 278 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

Student in an Organized Health Care Education/Training Program
1200 NORTH STATE STREET, BLDG. D&T, SUITE 3D321
LOS ANGELES, CA 90089

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 Hartman's NPI number?

The NPI number for Matthew Hartman is 1205463171. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Matthew Hartman located?

Matthew Hartman practices at 1200 North State Street D&t 3d321, Los Angeles, CA 90089. The listed phone number is (323) 409-6931.

What is Matthew Hartman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Matthew Hartman enrolled in Medicare?

Yes. Matthew Hartman 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 Hartman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Hartman reassigns Medicare benefits to 3 organizations: Beverly Radiology Medical Group III (Pasadena, CA), Thousand Oaks Diagnostic Imaging Center (Thousand Oaks, CA) and Desert Advanced Imaging Medical Center (Palm Desert, CA). 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 Hartman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Hartman was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.