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MATTHEW PATRICK DEBENEDETTO PA
NPI 1235338484
Physician Assistant in Fresno, CA

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment
6121 N THESTA ST, SUITE 114, FRESNO, CA 93710(559) 439-7633(559) 439-7632 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Patrick Debenedetto Pa NPPES

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

MATTHEW PATRICK DEBENEDETTO PA (NPI 1235338484) is an individual physician assistant in Fresno, California, licensed in California (PA19218) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1235338484
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW PATRICK DEBENEDETTOCredential: PA
Location Address6121 N THESTA ST, SUITE 114Fresno, CA 93710-8603
Mailing AddressPo Box 28921Fresno, CA 93729-8921 · (559) 439-7633 · Fax (559) 439-7632
Phone(559) 439-7633
Fax(559) 439-7632
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 17, 2007
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1235338484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA19218
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6121 N THESTA ST, Fresno, CA 93710
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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

Matthew Patrick Debenedetto Pa 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 ID4587758735
PECOS Enrollment IDI20070918000669
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 93710 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 19

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

MRS. THERESA ANN STOFAN P.T.
Physical Therapist
6121 N THESTA ST, SUITE 115
FRESNO, CA 93710
Fresno County (559) 449-9394
METABOLIC IMAGING MEDICAL GROUP, INC.
Nuclear Medicine
6121 N THESTA ST, 207
FRESNO, CA 93710
Fresno County (559) 449-2644
MATTHEW PALIUGHI PHARMD
Pharmacist
6121 N THESTA ST, STE 204
FRESNO, CA 93710
Fresno County (559) 435-2425
DR. DANIEL ERWIN STOBBE MD, FACNP
Nuclear Medicine (Nuclear Imaging & Therapy)
6121 N THESTA ST, STE 207
FRESNO, CA 93710
Fresno County (559) 449-2640
DR. WILLIAM EDWARD VON KAENEL II M.D.
Anesthesiology (Pain Medicine)
6121 N THESTA ST, STE. 106
FRESNO, CA 93710
Fresno County (559) 435-1846
JEFFREY K. SHINODA, PHARM.D., INC.
Pharmacist (Oncology)
6121 N THESTA ST, STE 204
FRESNO, CA 93710
Fresno County (559) 435-2425
DR. BRUCE JAMES WITMER M.D.
Specialist
6121 N THESTA ST, SUITE 106
FRESNO, CA 93710
Fresno County (559) 432-5633
PETER T SIMONIAN M.D.
Specialist
6121 N THESTA ST, SUITE 114
FRESNO, CA 93710
Fresno County (559) 439-7633

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 Debenedetto's NPI number?

The NPI number for Matthew Debenedetto is 1235338484. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Matthew Debenedetto located?

Matthew Debenedetto practices at 6121 N Thesta St Suite 114, Fresno, CA 93710. The listed phone number is (559) 439-7633.

What is Matthew Debenedetto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Debenedetto enrolled in Medicare?

Yes. Matthew Debenedetto 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.

When was this NPI record last updated?

The NPPES record for Matthew Debenedetto was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.