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BENJAMIN ADAM MATI MD
NPI 1447526413
Family Medicine in Ventura, CA

Active since March 23, 2012PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
300 HILLMONT AVE, VENTURA, CA 93003(805) 652-6165(805) 652-6282 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2023, Dec 8, 2021, Mar 21, 2018 (3 updates tracked since 2018).

About Benjamin Adam Mati Md NPPES

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

BENJAMIN ADAM MATI MD (NPI 1447526413) is an individual family medicine provider in Ventura, California, licensed in California (A127996) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2012).

NPPES Registry Identity

NPI1447526413
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN ADAM MATICredential: MD
Location Address300 HILLMONT AVEVentura, CA 93003-1651
Mailing Address300 Hillmont AveVentura, CA 93003-1651 · (805) 652-6228
Phone(805) 652-6165
Fax(805) 652-6282
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2012
Enumeration DateMarch 23, 2012
Last NPPES UpdateNovember 15, 20233 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1447526413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A127996
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
300 HILLMONT AVE, Ventura, CA 93003
Open in Google Maps ↗

Other Names 1

Other Name (5)Ben Mati Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Benjamin Adam Mati 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 ID8224255245
PECOS Enrollment IDI20140814000666
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services58 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services16 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

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.

DANIEL FREITAS
Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-6161
LINDSAY ANN LOFT FNP
Nurse Practitioner (Family)
300 HILLMONT AVE, BLDG 340, STE 401
VENTURA, CA 93003
Ventura County (805) 641-0141
DENNIS J WATSON
Counselor (Mental Health)
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 562-5907
NATHAN BRODIE
Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-6161
MARY E. RASMUSSEN REG.NURSE
Registered Nurse
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-3200
KAYLEE MICHELLE JONES HANTKE
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-6000
ISABELLA GENEVA CHEN M.D.
Internal Medicine (Hematology & Oncology)
300 HILLMONT AVE, BLDG 340, STE 501
VENTURA, CA 93003
Ventura County (805) 652-6218
DR. LINDA J. LEE MD
Pathology (Anatomic Pathology & Clinical Pathology)
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (213) 867-7814

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 Benjamin Mati's NPI number?

The NPI number for Benjamin Mati is 1447526413. It was assigned to this individual provider in the NPPES registry on March 23, 2012. The provider is also known as Ben Mati MD.

Where is Benjamin Mati located?

Benjamin Mati practices at 300 Hillmont Ave, Ventura, CA 93003. The listed phone number is (805) 652-6165.

What is Benjamin Mati's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Mati enrolled in Medicare?

Yes. Benjamin Mati 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 Benjamin Mati accept?

Health plans from Providence Health Plan list Benjamin Mati 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.

When was this NPI record last updated?

The NPPES record for Benjamin Mati was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.