DR. LARRY MATSUMOTO M.D.
NPI 1427067248
Obstetrics & Gynecology - Maternal & Fetal Medicine in Sarasota, FL

Q: What is Larry Matsumoto's NPI number?

The NPI number for Larry Matsumoto is 1427067248. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Larry Matsumoto's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Q: When was this NPI record last updated?

The NPPES record for Larry Matsumoto was last updated on January 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 08, 2006PECOS Enrolled

78.8/100

CMS Quality Rating

1888 HILLVIEW ST, SARASOTA, FL 34239(941) 917-6260(941) 917-6266 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 15, 2019, Jan 8, 2019 (2 updates tracked since 2019).

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About Dr. Larry Matsumoto M.d. NPPES

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

DR. LARRY MATSUMOTO M.D. (NPI 1427067248) is an individual maternal & fetal medicine provider in Sarasota, Florida, licensed in Florida (ME138959) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427067248

Entity TypeIndividualMale

Primary Taxonomy207VM0101X

Provider Legal NameDR. LARRY MATSUMOTOCredential: M.D.

Location Address1888 HILLVIEW STSarasota, FL 34239-3605

Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884

Phone(941) 917-6260

Fax(941) 917-6266

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateJanuary 15, 20192 updates tracked since enumeration

✔ NPI 1427067248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

Licenses✔ Licensed in FL · ME138959✔ Licensed in GA · 055424

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

1888 HILLVIEW ST, Sarasota, FL 34239

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Other Identifiers 5

Medicaid186509177AGA

Medicaid186509177GGA

Medicaid186509177EGA

Medicaid186509177BGA

Medicaid186509177DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Larry Matsumoto M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

78.8/100

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

Scored as part of a group practice

Quality

79.37

Promoting Interoperability

Improvement Activities

Cost

50.81

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNY LYNN BOWLES APRN

Nurse Practitioner (Women's Health)