DR. DANIEL HENRY MATHALON M.D.
NPI 1275613390
Psychiatry & Neurology - Psychiatry in San Francisco, CA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
4150 CLEMENT ST, MENTAL HEALTH 116D, SFVAMC, SAN FRANCISCO, CA 94121(415) 221-4810(415) 750-6622 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Daniel Henry Mathalon M.d. NPPES

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

DR. DANIEL HENRY MATHALON M.D. (NPI 1275613390) is an individual psychiatry provider in San Francisco, California, licensed in California (LA55133) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1994).

NPPES Registry Identity

NPI1275613390
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DANIEL HENRY MATHALONCredential: M.D.
Location Address4150 CLEMENT ST, MENTAL HEALTH 116D, SFVAMCSan Francisco, CA 94121-1545
Mailing Address4150 Clement St, Mental Health 116d, SfvamcSan Francisco, CA 94121-1545 · (415) 221-4810 · Fax (415) 750-6622
Fax(415) 750-6622
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 1994
Enumeration DateOctober 16, 2006
Last NPPES UpdateFebruary 26, 2013
NPI 1275613390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in CA · LA55133 Licensed in CT · 039358
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4150 CLEMENT ST, San Francisco, CA 94121

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

Dr. Daniel Henry Mathalon M.d. 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 ID9234368986
PECOS Enrollment IDI20140129001581
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 94121 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

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.

Social Worker
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Student in an Organized Health Care Education/Training Program
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Pharmacist
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Registered Nurse
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Pharmacist
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Respiratory Therapist, Registered
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Nurse Practitioner (Family)
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Social Worker (Clinical)
4150 CLEMENT ST, SOCIAL WORK SERVICES-122
SAN FRANCISCO, CA 94121

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 Daniel Mathalon's NPI number?

The NPI number for Daniel Mathalon is 1275613390. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Daniel Mathalon located?

Daniel Mathalon practices at 4150 Clement St Mental Health 116D, Sfvamc, San Francisco, CA 94121. The listed phone number is (415) 221-4810.

What is Daniel Mathalon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Daniel Mathalon enrolled in Medicare?

Yes. Daniel Mathalon 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 Daniel Mathalon was last updated on February 26, 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.