MATTHEW BRUCE PETTERSON M.D.
NPI 1700249190
Radiology - Diagnostic Radiology in Stanford, CA
About Matthew Bruce Petterson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW BRUCE PETTERSON M.D. (NPI 1700249190) is an individual diagnostic radiology provider in Stanford, California, licensed in California (A171286) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of University Of Arizona College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Matthew Bruce Petterson M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Petterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 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 79
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Petterson's NPI number?
The NPI number for Matthew Petterson is 1700249190. It was assigned to this individual provider in the NPPES registry on April 1, 2016.
Where is Matthew Petterson located?
Matthew Petterson practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Matthew Petterson's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Matthew Petterson enrolled in Medicare?
Yes. Matthew Petterson 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 Matthew Petterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Petterson reassigns Medicare benefits to 2 organizations: Stanford Health Care (Stanford, CA) and Lpch Medical Group Div Of Lucile (Palo Alto, CA). 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 Matthew Petterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Matthew Petterson was last updated on April 7, 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.