BRIAN RICHARD MATLAGA M.D.
NPI 1427009539
Urology in Baltimore, MD

Q: What is Brian Matlaga's NPI number?

The NPI number for Brian Matlaga is 1427009539. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Q: What is Brian Matlaga's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Matlaga was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 13, 2006PECOS Enrolled

74.39/100

CMS Quality Rating

4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-7739 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brian Richard Matlaga M.d. NPPES

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

BRIAN RICHARD MATLAGA M.D. (NPI 1427009539) is an individual urology provider in Baltimore, Maryland, licensed in Maryland (D64132) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Tulane University School Of Medicine (1999).

NPPES Registry Identity

NPI1427009539

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameBRIAN RICHARD MATLAGACredential: M.D.

Location Address4940 EASTERN AVEBaltimore, MD 21224-2735

Mailing AddressPo Box 64255Baltimore, MD 21264-4255 · (410) 550-7008

Phone(410) 550-7739

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 1999

Enumeration DateMay 13, 2006

Last NPPES UpdateFebruary 12, 2013

✔ NPI 1427009539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MD · D64132

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4940 EASTERN AVE, Baltimore, MD 21224

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Other Identifiers 2

Medicaid410696200MD

Medicare PINKS16N986MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Richard Matlaga M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032121496

PECOS Enrollment IDI20060629000219

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 5

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.

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.

75 services70 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 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.

18 services17 patients

Complex surgical treatment of kidney stone with imaging guidance 50081

This procedure involves using a thin tube (endoscope) to either remove or break down large kidney stones, or to place a small device (stent) that helps keep the urinary tract open. This is done to alleviate pain and improve kidney function.

15 services15 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

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.

74.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.71

Promoting Interoperability

Improvement Activities

Cost

52.43

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.

DR. SUSRUTHA KOTWAL MD

Internal Medicine

4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224

Baltimore City (410) 550-5018

DR. SAMANTHA A WOLFE MD

Otolaryngology