DR. PAUL MICHAEL MATSUMOTO D.O.
NPI 1295745602
Family Medicine in San Diego, CA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
2020 GENESEE AVE, SAN DIEGO, CA 92123(858) 499-2600(858) 616-8175 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul Michael Matsumoto D.o. NPPES

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

DR. PAUL MICHAEL MATSUMOTO D.O. (NPI 1295745602) is an individual family medicine provider in San Diego, California, licensed in California (20A6907) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1995).

NPPES Registry Identity

NPI1295745602
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL MICHAEL MATSUMOTOCredential: D.O.
Location Address2020 GENESEE AVESan Diego, CA 92123-4219
Mailing Address2020 Genesee AveSan Diego, CA 92123-4219 · (858) 499-2600 · Fax (858) 616-8175
Fax(858) 616-8175
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1995
Enumeration DateAugust 8, 2006
Last NPPES UpdateJune 25, 2013
NPI 1295745602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A6907
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2020 GENESEE AVE, San Diego, CA 92123

Other Identifiers 3

Medicare ID-Type UnspecifiedW20A6907DCA
Medicaid00AX69070CA
Medicare UPING71678CA

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. Paul Michael Matsumoto D.o. 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 ID3375667553
PECOS Enrollment IDI20100824001172
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 6

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.

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.
178 services96 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.
90 services74 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
69 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
19 services19 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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.

Family Medicine
2020 GENESEE AVE
SAN DIEGO, CA 92123
Internal Medicine
2020 GENESEE AVE
SAN DIEGO, CA 92123
Internal Medicine
2020 GENESEE AVE
SAN DIEGO, CA 92123
Pathology (Clinical Pathology/Laboratory Medicine)
2020 GENESEE AVE
SAN DIEGO, CA 92123
Family Medicine
2020 GENESEE AVE
SAN DIEGO, CA 92123
Surgery (Vascular Surgery)
2020 GENESEE AVE, SHARP REES STEALY GENERAL SURGERY
SAN DIEGO, CA 92123
Internal Medicine
2020 GENESEE AVE
SAN DIEGO, CA 92123
Clinical Medical Laboratory
2020 GENESEE AVE
SAN DIEGO, CA 92123

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 Paul Matsumoto's NPI number?

The NPI number for Paul Matsumoto is 1295745602. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Paul Matsumoto located?

Paul Matsumoto practices at 2020 Genesee Ave, San Diego, CA 92123. The listed phone number is (858) 499-2600.

What is Paul Matsumoto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Matsumoto enrolled in Medicare?

Yes. Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Matsumoto was last updated on June 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.