DR. MATTHEW MARK SCHULTZEL D.O.
NPI 1306123229
Surgery in La Jolla, CA

Active since November 05, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
9850 GENESEE AVE STE 570, LA JOLLA, CA 92037(858) 207-3117(951) 698-0272 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2018, Aug 30, 2016 (2 updates tracked since 2016).

About Dr. Matthew Mark Schultzel D.o. NPPES

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

DR. MATTHEW MARK SCHULTZEL D.O. (NPI 1306123229) is an individual surgery provider in La Jolla, California, licensed in California (11955) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2010).

NPPES Registry Identity

NPI1306123229
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MATTHEW MARK SCHULTZELCredential: D.O.
Location Address9850 GENESEE AVE STE 570La Jolla, CA 92037
Mailing Address9850 Genesee Ave Ste 570La Jolla, CA 92037-1229 · (858) 207-3117 · Fax (951) 698-0272
Fax(951) 698-0272
Sole ProprietorYes
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2010
Enumeration DateNovember 5, 2011
Last NPPES UpdateJune 21, 20182 updates tracked since enumeration
NPI 1306123229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · 11955
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9850 GENESEE AVE STE 570, La Jolla, CA 92037

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. Matthew Mark Schultzel 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 ID3678701893
PECOS Enrollment IDI20160927001609
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 15

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.

Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
546 services202 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.
496 services292 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
241 services191 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
220 services220 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
188 services90 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.
185 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 7

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

Ostomy skin barrier, liquid (spray, brush, etc.), per oz A4369
DME-Orthotic Devices · category DF010N
2 suppliers11 claims30 services$1.86 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
5 suppliers28 claims766 services$4.81 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
4 suppliers21 claims329 services$2.40 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers15 claims270 services$3.20 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims630 services$0.21 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each A5056
DME-Orthotic Devices · category DF010N
2 suppliers12 claims540 services$4.35 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 5

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

Nurse Practitioner (Family)
9850 GENESEE AVE STE 570
LA JOLLA, CA 92037
Surgery
9850 GENESEE AVE STE 570
LA JOLLA, CA 92037
Surgery
9850 GENESEE AVE STE 570
LA JOLLA, CA 92037
Surgery
9850 GENESEE AVE STE 570
LA JOLLA, CA 92037
Surgery
9850 GENESEE AVE STE 570
LA JOLLA, CA 92037

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 Matthew Schultzel's NPI number?

The NPI number for Matthew Schultzel is 1306123229. It was assigned to this individual provider in the NPPES registry on November 5, 2011.

Where is Matthew Schultzel located?

Matthew Schultzel practices at 9850 Genesee Ave Ste 570, La Jolla, CA 92037. The listed phone number is (858) 207-3117.

What is Matthew Schultzel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Schultzel enrolled in Medicare?

Yes. Matthew Schultzel 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 Matthew Schultzel was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.