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MICHAEL K. MATSUMOTO MD
NPI 1295819266
Pediatrics in Novato, CA

Active since October 25, 2006PECOS Enrolled
97 SAN MARIN DR, NOVATO, CA 94945(415) 899-7400 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael K. Matsumoto Md NPPES

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

MICHAEL K. MATSUMOTO MD (NPI 1295819266) is an individual pediatrics provider in Novato, California, licensed in California (A62907) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295819266
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMICHAEL K. MATSUMOTOCredential: MD
Location Address97 SAN MARIN DRNovato, CA 94945-1100
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Phone(415) 899-7400
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateNovember 23, 2021
✔ NPI 1295819266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A62907
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
97 SAN MARIN DR, Novato, CA 94945
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Other Identifiers 1

Medicaid00A629070CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael K. Matsumoto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94945 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$773.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. ZIBA ANSARI-JABERI PHARM.D.
Pharmacist
97 SAN MARIN DR
NOVATO, CA 94945
Marin County (415) 893-4040
RITU MUKERJI-METZGER MD
Internal Medicine
97 SAN MARIN DR
NOVATO, CA 94945
Marin County (415) 899-7400
JEAN VIERRA MD
Obstetrics & Gynecology
97 SAN MARIN DR
NOVATO, CA 94945
Marin County (415) 899-7400
HELEN MAN-SON-HING MD
Internal Medicine
97 SAN MARIN DR
NOVATO, CA 94945
Marin County (415) 899-7400
DONALD A. PIERCE MD
Internal Medicine (Rheumatology)
97 SAN MARIN DR
NOVATO, CA 94945
Marin County (415) 899-7400
DR. NAM DUY NGUYEN PHARM.D.
Pharmacist
97 SAN MARIN DR
NOVATO, CA 94945
Marin County (415) 899-7563
DR. MICHAEL I HARRIS M.D.
Pediatrics
97 SAN MARIN DR
NOVATO, CA 94945
Marin County (415) 899-7414
BARBARA DORAN NP
Nurse Practitioner
97 SAN MARIN DR
NOVATO, CA 94945
Marin County (415) 899-7411

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 Michael Matsumoto's NPI number?

The NPI number for Michael Matsumoto is 1295819266. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Michael Matsumoto located?

Michael Matsumoto practices at 97 San Marin Dr, Novato, CA 94945. The listed phone number is (415) 899-7400.

What is Michael Matsumoto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Matsumoto enrolled in Medicare?

Yes. Michael Matsumoto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Matsumoto was last updated on November 23, 2021. 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.