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DR. MONIF MOUSSA MATOUK DPM
NPI 1689627879
Podiatrist in Los Banos, CA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
400 W I ST STE C, LOS BANOS, CA 93635(209) 827-2766 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2024, Jan 22, 2020, Jul 17, 2019 (3 updates tracked since 2019).

About Dr. Monif Moussa Matouk Dpm NPPES

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

DR. MONIF MOUSSA MATOUK DPM (NPI 1689627879) is an individual podiatrist in Los Banos, California, licensed in California (5321) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of William M. Scholl College Of Podiatric Medicine (2001).

NPPES Registry Identity

NPI1689627879
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. MONIF MOUSSA MATOUKCredential: DPM
Location Address400 W I ST STE CLos Banos, CA 93635-3459
Mailing Address311 W I StLos Banos, CA 93635-3479 · (209) 826-2222
Phone(209) 827-2766
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2001
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 9, 20243 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1689627879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · 5321
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 016005096 (IL)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 5321 (CA)
400 W I ST STE C, Los Banos, CA 93635
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11340 S Damen Ave, Suite 210Chicago, IL 60608-1169 · Phone (773) 292-4800 · Fax (312) 738-1624
Location 2400 W I St Ste ALos Banos, CA 93635-3459 · Phone (209) 827-9999
Location 3311 W I StLos Banos, CA 93635-3479 · Phone (209) 826-2222
Location 41549 Golden Gate AveDos Palos, CA 93620-2329 · Phone (209) 392-0022 · Fax (209) 392-0011

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. Monif Moussa Matouk Dpm 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 ID9335138874
PECOS Enrollment IDI20161215001193
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 8

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
553 services219 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
211 services108 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
76 services15 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
44 services33 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.
39 services37 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
32 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93635 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
37%70 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
20%40 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
0%21 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
52%21 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
90%99 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
4%26 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%64 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%87 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 63 patients
0%63 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%31 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 30 patients
Patients totalRate: 7% · 30 patients
3%30 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
1 supplier84 claims96 services$2.45 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers33 claims66 services$61.30 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier32 claims189 services$24.99 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier85 claims904 services$0.89 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
2 suppliers69 claims255 services$1.98 avg. paid by Medicare
Hydrogel dressing, wound filler, gel, per fluid ounce A6248
DME-Medical/Surgical Supplies · category DA023N
1 supplier31 claims38 services$14.11 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 3

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

SUTTER CENTRAL VALLEY HOSPITALS
Clinic/Center (Rural Health)
400 W I ST STE C
LOS BANOS, CA 93635
Merced County (209) 710-6333
JANICE P JAMES FNP
Nurse Practitioner (Family)
400 W I ST STE C
LOS BANOS, CA 93635
Merced County (209) 710-6333
DR. SARAH ANN S MATOUK D.P.M.
Podiatrist
400 W I ST STE C
LOS BANOS, CA 93635
Merced County (209) 827-2766

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 Monif Matouk's NPI number?

The NPI number for Monif Matouk is 1689627879. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Monif Matouk located?

Monif Matouk practices at 400 W I St Ste C, Los Banos, CA 93635. The listed phone number is (209) 827-2766.

What is Monif Matouk's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Monif Matouk enrolled in Medicare?

Yes. Monif Matouk 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.

When was this NPI record last updated?

The NPPES record for Monif Matouk was last updated on May 9, 2024. 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.