DR. MATTHEW KHUMALO MD
NPI 1679612618
Family Medicine in Green Valley, AZ

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
86.99/100
CMS Quality Rating
4475 S I 19 FRONTAGE RD STE 255, GREEN VALLEY, AZ 85614(520) 393-4863 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 10, 2020, Mar 17, 2017 (2 updates tracked since 2017).

About Dr. Matthew Khumalo Md NPPES

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

DR. MATTHEW KHUMALO MD (NPI 1679612618) is an individual family medicine provider in Green Valley, Arizona, licensed in Arizona (37296) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chandler, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1679612618
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW KHUMALOCredential: MD
Location Address4475 S I 19 FRONTAGE RD STE 255Green Valley, AZ 85614-6365
Mailing Address2181 E Pecos Rd, Suite #1Chandler, AZ 85225-6140 · (480) 398-3638 · Fax (480) 398-3643
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJanuary 10, 20202 updates tracked since enumeration
NPI 1679612618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 37296
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 ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 37296 (AZ)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 37296 (AZ)
4475 S I 19 FRONTAGE RD STE 255, Green Valley, AZ 85614

Secondary Practice Location 1

Location 12181 E Pecos Rd, Suite #1Chandler, AZ 85225-6140 · Phone (480) 398-3638 · Fax (480) 398-3643

Accepted 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

Dr. Matthew Khumalo 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 ID3678666302
PECOS Enrollment IDI20091021000345
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 2

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 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.
120 services57 patients
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.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85614 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

86.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.35
Promoting Interoperability88
Improvement Activities40
Cost53.95

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$0.00 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$25.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
4475 S I 19 FRONTAGE RD STE 255
GREEN VALLEY, AZ 85614
Internal Medicine (Interventional Cardiology)
4475 S I 19 FRONTAGE RD STE 255
GREEN VALLEY, AZ 85614
Nurse Practitioner (Acute Care)
4475 S I 19 FRONTAGE RD STE 255
GREEN VALLEY, AZ 85614
Urology
4475 S I 19 FRONTAGE RD STE 255
GREEN VALLEY, AZ 85614

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 Matthew Khumalo's NPI number?

The NPI number for Matthew Khumalo is 1679612618. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Matthew Khumalo located?

Matthew Khumalo practices at 4475 S I 19 Frontage Rd Ste 255, Green Valley, AZ 85614. The listed phone number is (520) 393-4863.

What is Matthew Khumalo's specialty?

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

Is Matthew Khumalo enrolled in Medicare?

Yes. Matthew Khumalo 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 Matthew Khumalo accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Matthew Khumalo 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 Matthew Khumalo was last updated on January 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.