DR. ANDRES MATOSO
NPI 1316129604
Pathology - Anatomic Pathology & Clinical Pathology in Baltimore, MD
About Dr. Andres Matoso NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDRES MATOSO (NPI 1316129604) is an individual anatomic pathology & clinical pathology provider in Baltimore, Maryland, licensed in Maryland (D73547) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Providence.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Andres Matoso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Andres Matoso reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21287
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Baltimore, MD 21287
- Reassigned Medicare billing, District of Columbia enrollment
- 62 clinicians in this Medicare group
Providence, RI 02908
- Reassigned Medicare billing, Maryland and Rhode Island enrollments
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johns Hopkins Hospital, The
Acute Care Hospitals · Baltimore, MDJohns Hopkins Bayview Medical Center
Acute Care Hospitals · Baltimore, MDOur Lady Of Fatima Hospital
Acute Care Hospitals · North Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21287 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
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 Andres Matoso's NPI number?
The NPI number for Andres Matoso is 1316129604. It was assigned to this individual provider in the NPPES registry on November 29, 2007.
Where is Andres Matoso located?
Andres Matoso practices at 401 N Broadway St, Baltimore, MD 21287. The listed phone number is (410) 955-4053.
What is Andres Matoso's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Andres Matoso enrolled in Medicare?
Yes. Andres Matoso is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andres Matoso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andres Matoso reassigns Medicare benefits to 3 organizations: Johns Hopkins University (Baltimore, MD), Johns Hopkins University (Baltimore, MD) and University Pathologists, LLC (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andres Matoso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Andres Matoso affiliated with any hospitals?
According to CMS data, Andres Matoso is affiliated with Johns Hopkins Hospital, The, Johns Hopkins Bayview Medical Center and Our Lady Of Fatima Hospital.
When was this NPI record last updated?
The NPPES record for Andres Matoso was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Dr. Andres Matoso · NPI 1316129604
Anatomic Pathology & Clinical Pathology physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since November 29, 2007.
## Identity
- **NPI:** 1316129604 (Entity type: Individual)
- **Enumerated:** November 29, 2007
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** D73547 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 N BROADWAY ST, Baltimore, MD 21287-0019
- **Phone:** (410) 955-4053 · **Fax:** (410) 614-1287
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins University (NPI 1881694453, Baltimore, MD); Johns Hopkins University (NPI 1477540904, Baltimore, MD); University Pathologists, LLC (NPI 1568640886, Providence, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** August 25, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1316129604) · Data from the CMS NPPES public registry.