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DR. ANDRES MATOSO
NPI 1316129604
Pathology - Anatomic Pathology & Clinical Pathology in Baltimore, MD

Active since November 29, 2007PECOS Enrolled
74.39/100
CMS Quality Rating
401 N BROADWAY ST, BALTIMORE, MD 21287(410) 955-4053(410) 614-1287 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1316129604
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ANDRES MATOSO
Location Address401 N BROADWAY STBaltimore, MD 21287-0019
Mailing Address9910 Franklin Square Dr Ste 2110Baltimore, MD 21236-4902 · (410) 933-6423
Phone(410) 955-4053
Fax(410) 614-1287
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 29, 2007
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1316129604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in MD · D73547✔ Licensed in RI · LP01285
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
401 N BROADWAY ST, Baltimore, MD 21287
Open in Google Maps ↗

Secondary Practice Location 1

Location 1825 Chalkstone AveProvidence, RI 02908-4728 · Phone (401) 456-2109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andres Matoso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022236587
PECOS Enrollment IDI20140825001254, I20170105001498, I20170209001362
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 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
335 services171 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
141 services88 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
132 services42 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
59 services51 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
32 services22 patients
Pathology examination of tissue using a microscope, high complexity 88309
A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
29 services29 patients

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, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Physician 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.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

ABBYE RAE SOLIS ACNP
Nurse Practitioner (Acute Care)
401 N BROADWAY ST, WEINBERG 3A
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MICHAEL EDWARD KALLEN M.D.
Pathology (Hematology)
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
JOHNS HOPKINS UNIVERSITY
Internal Medicine
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
ZENA JAMEEL MD
Pathology (Anatomic Pathology & Clinical Pathology)
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
GUOFENG GAO M.D.
Student in an Organized Health Care Education/Training Program
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (717) 992-7051
KRISTIN GALLAGHER STOKVIS CRNP
Nurse Practitioner (Acute Care)
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MRS. VALENTINA ANN GOULARTE AG-ACNP
Nurse Practitioner (Acute Care)
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 955-8964
CHARITY NDAGURI WHITE
Registered Nurse
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 469-0137

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.

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 11 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.