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JAMES D MATIKO MD
NPI 1407942113
Orthopaedic Surgery - Hand Surgery in Redlands, CA

Active since October 04, 2006PECOS Enrolled
67.84/100
CMS Quality Rating
1901 WEST LUGONIA AVENUE, SUITE 120, REDLANDS, CA 92374(909) 557-1600(909) 557-1740 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James D Matiko Md NPPES

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

JAMES D MATIKO MD (NPI 1407942113) is an individual hand surgery provider in Redlands, California, licensed in California (G37551) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407942113
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameJAMES D MATIKOCredential: MD
Location Address1901 WEST LUGONIA AVENUE, SUITE 120Redlands, CA 92374
Mailing Address1901 W Lugonia Ave, Suite 230Redlands, CA 92374-9703 · (909) 557-1600 · Fax (909) 557-1740
Phone(909) 557-1600
Fax(909) 557-1740
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateJune 22, 2012
✔ NPI 1407942113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in CA · G37551
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
1901 WEST LUGONIA AVENUE, Redlands, CA 92374
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA47138CA
Medicare ID-Type Unspecified00G375510CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James D Matiko 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.

Medicare Billing Reassignment

Medicare enrollment records show James Matiko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Bernardino Medical Orthopaedic Group, Inc.
Same address
Orthopaedic Surgery
1901 W LUGONIA AVE, SUITE 120
Redlands, CA 92374
  • Reassigned Medicare billing, California enrollment
  • 77 clinicians in this Medicare group
NPI 1336187475 (909) 557-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92374 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

67.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.66
Promoting Interoperability52
Improvement Activities40
Cost91.3

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.

CLIFFORD D MERKEL MD
Orthopaedic Surgery (Foot and Ankle Surgery)
1901 WEST LUGONIA AVENUE, SUITE 120
REDLANDSS, CA 92374
San Bernardino County (909) 557-1600
BARRY S GRAMES MD
Orthopaedic Surgery
1901 WEST LUGONIA AVENUE, SUITE 120
REDLANDS, CA 92374
San Bernardino County (909) 557-1600
GAIL E HOPKINS II MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1901 WEST LUGONIA AVENUE, SUITE 120
REDLANDS, CA 92374
San Bernardino County (909) 557-1600
DERALD R NORDECK RNFA
Registered Nurse (Orthopedic)
1901 WEST LUGONIA AVENUE, SUITE 120
REDLANDS, CA 92374
San Bernardino County (909) 557-1600
JOHN C STEINMANN DO
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1901 WEST LUGONIA AVENUE, SUITE 120
REDLANDS, CA 92374
San Bernardino County (909) 557-1600

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 James Matiko's NPI number?

The NPI number for James Matiko is 1407942113. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is James Matiko located?

James Matiko practices at 1901 West Lugonia Avenue Suite 120, Redlands, CA 92374. The listed phone number is (909) 557-1600.

What is James Matiko's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is James Matiko enrolled in Medicare?

Yes. James Matiko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Matiko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Matiko reassigns Medicare benefits to San Bernardino Medical Orthopaedic Group, Inc. (Redlands, CA). The 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 James Matiko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Matiko was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.