MARTHA MATSUMOTO MD
NPI 1336679067
Dermatology in Saint Paul, MN

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108(651) 241-9700 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2022, Oct 1, 2021, Jun 14, 2017 (3 updates tracked since 2017).

About Martha Matsumoto Md NPPES

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

MARTHA MATSUMOTO MD (NPI 1336679067) is an individual dermatology provider in Saint Paul, Minnesota, licensed in Minnesota (69029) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2017).

NPPES Registry Identity

NPI1336679067
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMARTHA MATSUMOTOCredential: MD
Location Address1021 BANDANA BLVD E STE 100Saint Paul, MN 55108-5109
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2017
Enumeration DateJune 14, 2017
Last NPPES UpdateFebruary 7, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
NPI 1336679067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MN · 69029
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT214271 (PA)
1021 BANDANA BLVD E STE 100, Saint Paul, MN 55108

Accepted Insurance

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

Martha Matsumoto Md 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 ID749559136
PECOS Enrollment IDI20210706001252
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 14

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
206 services66 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.
192 services156 patients
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.
167 services102 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
112 services101 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
76 services64 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
67 services59 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55108 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Otolaryngology
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Otolaryngology
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Family Medicine
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Nurse Practitioner (Family)
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Audiologist
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Podiatrist
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108
Audiologist
1021 BANDANA BLVD E STE 100
SAINT PAUL, MN 55108

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 Martha Matsumoto's NPI number?

The NPI number for Martha Matsumoto is 1336679067. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Martha Matsumoto located?

Martha Matsumoto practices at 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108. The listed phone number is (651) 241-9700.

What is Martha Matsumoto's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Martha Matsumoto enrolled in Medicare?

Yes. Martha 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.

What insurance does Martha Matsumoto accept?

Health plans from HealthPartners and Medica list Martha Matsumoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Martha Matsumoto affiliated with any hospitals?

According to CMS data, Martha Matsumoto is affiliated with Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Martha Matsumoto was last updated on February 7, 2022. 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.