PAUL DAVID MATZKIN MD
NPI 1427053362
Hospitalist in Concord, NH

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
89.75/100
CMS Quality Rating
250 PLEASANT ST, CONCORD, NH 03301(603) 227-7000(603) 227-7191 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 10, 2017, Oct 25, 2016 (2 updates tracked since 2016).

About Paul David Matzkin Md NPPES

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

PAUL DAVID MATZKIN MD (NPI 1427053362) is an individual hospitalist provider in Concord, New Hampshire, licensed in New Hampshire (11853) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2000).

NPPES Registry Identity

NPI1427053362
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePAUL DAVID MATZKINCredential: MD
Location Address250 PLEASANT STConcord, NH 03301-7539
Mailing Address250 Pleasant StConcord, NH 03301-7539 · (603) 227-7000 · Fax (603) 227-7191
Fax(603) 227-7191
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2000
Enumeration DateJune 16, 2005
Last NPPES UpdateApril 10, 20172 updates tracked since enumeration
✔ NPI 1427053362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NH · 11853
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 11853 (NH)
250 PLEASANT ST, Concord, NH 03301

Other Identifiers 6

Other714677NH · Mvp
Medicaid30203498NH
Other4677414NH · Cigna
Medicare UPINH87822NH
Other01YP05069NH02NH · Anthem
Medicaid1009623VT

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul David Matzkin 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 ID1850314394
PECOS Enrollment IDI20060111000892
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 Reassignments

4

Medicare enrollment records show Paul Matzkin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
250 PLEASANT ST
Concord, NH 03301
  • Reassigned Medicare billing, New Hampshire enrollment
  • 636 clinicians in this Medicare group
Critical Access
15 AIKEN AVE
Franklin, NH 03235
  • Reassigned Medicare billing, New Hampshire enrollment
  • 209 clinicians in this Medicare group
Family Medicine
85 SPRING ST
Laconia, NH 03246
  • Reassigned Medicare billing, New Hampshire enrollment
  • 409 clinicians in this Medicare group
Ambulance
273 COUNTY RD
New London, NH 03257
  • Reassigned Medicare billing, New Hampshire enrollment
  • Also billed through NPI 1831200583 (New Hampshire)
  • 141 clinicians in this Medicare group

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
239 services133 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
174 services94 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
127 services124 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
51 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services35 patients

Hospital Affiliations CMS Care Compare

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

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03301 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

89.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.37
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
250 PLEASANT ST
CONCORD, NH 03301
Family Medicine (Geriatric Medicine)
250 PLEASANT ST
CONCORD, NH 03301
Emergency Medicine
250 PLEASANT ST
CONCORD, NH 03301
Nurse Practitioner
250 PLEASANT ST
CONCORD, NH 03301
Emergency Medicine
250 PLEASANT ST
CONCORD, NH 03301
Hospitalist
250 PLEASANT ST
CONCORD, NH 03301
Anesthesiology
250 PLEASANT ST
CONCORD, NH 03301
Emergency Medicine
250 PLEASANT ST
CONCORD, NH 03301

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 Paul Matzkin's NPI number?

The NPI number for Paul Matzkin is 1427053362. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Paul Matzkin located?

Paul Matzkin practices at 250 Pleasant St, Concord, NH 03301. The listed phone number is (603) 227-7000.

What is Paul Matzkin's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Paul Matzkin enrolled in Medicare?

Yes. Paul Matzkin 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.

Which organizations bill Medicare for Paul Matzkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Matzkin reassigns Medicare benefits to 4 organizations: Concord Hospital, Inc. (Concord, NH), Concord Hospital-Franklin (Franklin, NH), Concord Hospital-Laconia (Laconia, NH) and The New London Hospital Association, Inc. (New London, NH). 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 Paul Matzkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Matzkin accept?

Health plans from WellSense Health Plan list Paul Matzkin 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 Paul Matzkin affiliated with any hospitals?

According to CMS data, Paul Matzkin is affiliated with Concord Hospital.

When was this NPI record last updated?

The NPPES record for Paul Matzkin was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.