ANDREW MATSUMOTO MD
NPI 1235661380
Dermatology in Albuquerque, NM

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106(505) 272-6222 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2024, Jul 16, 2024, Jul 13, 2023 and 2 more (5 updates tracked since 2017).

About Andrew Matsumoto Md NPPES

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

ANDREW MATSUMOTO MD (NPI 1235661380) is an individual dermatology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2022-0400) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1235661380
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameANDREW MATSUMOTOCredential: MD
Location Address933 BRADBURY DR SE STE 2222Albuquerque, NM 87106-4375
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 29, 2017
Last NPPES UpdateSeptember 23, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
NPI 1235661380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NM · MD2022-0400
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

933 BRADBURY DR SE STE 2222, Albuquerque, NM 87106

Secondary Practice Location 1

Location 11356 Lusitana St, 7th FloorHonolulu, HI 96813-2409 · Phone (808) 586-2898

Accepted 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

Andrew Matsumoto 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 ID1850625336
PECOS Enrollment IDI20220824000143
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.

Areas of Expertise CMS Part B claims 18

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
228 services46 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
184 services146 patients
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.
133 services119 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
78 services63 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.
76 services69 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
65 services61 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Nurse's Aide
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Pharmacist
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Counselor (Addiction (Substance Use Disorder))
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Internal Medicine
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Hospitalist
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Nurse Practitioner (Pediatrics)
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
Nurse Practitioner (Family)
933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106

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 Andrew Matsumoto's NPI number?

The NPI number for Andrew Matsumoto is 1235661380. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Andrew Matsumoto located?

Andrew Matsumoto practices at 933 Bradbury Dr SE Ste 2222, Albuquerque, NM 87106. The listed phone number is (505) 272-6222.

What is Andrew Matsumoto's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Andrew Matsumoto enrolled in Medicare?

Yes. Andrew Matsumoto 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.

What insurance does Andrew Matsumoto accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Andrew Matsumoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Matsumoto affiliated with any hospitals?

According to CMS data, Andrew Matsumoto is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Matsumoto was last updated on September 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.