DR. MATTHEW MINO M.D.
NPI 1265766125
Plastic Surgery in Phoenix, AZ

Q: What is Matthew Mino's NPI number?

The NPI number for Matthew Mino is 1265766125. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Q: What is Matthew Mino's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: Is Matthew Mino enrolled in Medicare?

No. Matthew Mino has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Matthew Mino was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 25, 2009Opted out of Medicare · through Mar 15, 2028

2801 E CAMELBACK RD STE 100, PHOENIX, AZ 85016(480) 576-4310(480) 576-4311 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2019, Jan 22, 2017 (2 updates tracked since 2017).

On this page

About Dr. Matthew Mino M.d. NPPES

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

DR. MATTHEW MINO M.D. (NPI 1265766125) is an individual plastic surgery provider in Phoenix, Arizona, licensed in Arizona (63901) and active in the NPI registry since September 2009. He has opted out of Medicare through March 15, 2028 and remains eligible to order and refer and maintains a secondary practice location in Chandler.

NPPES Registry Identity

NPI1265766125

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. MATTHEW MINOCredential: M.D.

Location Address2801 E CAMELBACK RD STE 100Phoenix, AZ 85016-4363

Mailing Address2801 E Camelback Rd Ste 100Phoenix, AZ 85016-4363 · (480) 576-4310 · Fax (480) 576-4311

Phone(480) 576-4310

Fax(480) 576-4311

Sole ProprietorYes

Enumeration DateSeptember 25, 2009

Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2024

✔ NPI 1265766125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in AZ · 63901

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

2801 E CAMELBACK RD STE 100, Phoenix, AZ 85016

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Secondary Practice Location 1

Location 13377 S Price Rd Ste EChandler, AZ 85248-3573 · Phone (480) 576-4300 · Fax (480) 576-4311

Other Identifiers 2

Other63901AZ · Arizona Medical License

OtherS1660TX · Texas Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Matthew Mino M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2022 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2022

Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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Other Providers at the Same Location NPPES 8

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

BEAUTY EDIT

Specialist/Technologist, Other