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DR. DON TOSHIO MATSUURA MD
NPI 1720184120
Internal Medicine - Cardiovascular Disease in Hilo, HI

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1248 KINOOLE ST, STE 104, HILO, HI 96720(808) 935-0056(808) 969-7886 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Don Toshio Matsuura Md NPPES

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

DR. DON TOSHIO MATSUURA MD (NPI 1720184120) is an individual cardiovascular disease provider in Hilo, Hawaii, licensed in Hawaii (DEA AM2097435) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1983).

NPPES Registry Identity

NPI1720184120
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. DON TOSHIO MATSUURACredential: MD
Location Address1248 KINOOLE ST, STE 104Hilo, HI 96720-4171
Mailing Address1061 Kuahiwi PlaceHilo, HI 96720-4092 · (808) 961-2061 · Fax (808) 961-3061
Phone(808) 935-0056
Fax(808) 969-7886
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1983
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720184120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in HI · DEA AM2097435
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1248 KINOOLE ST, Hilo, HI 96720
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC98517
Medicare ID-Type Unspecified013839

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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. Don Toshio Matsuura 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 ID2769417138
PECOS Enrollment IDI20051004001089
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 12

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.
829 services268 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
126 services125 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
103 services102 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
78 services77 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) 93017
An exercise or drug-induced heart stress test with an ECG checks how your heart responds to stress. You'll either exercise on a treadmill or be given medication to stress your heart. An ECG then captures your heart's activity, helping detect any issues.
78 services77 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
78 services77 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96720 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%2,050 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
100%23 patients5/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,979 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,979 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%1,979 patients1/55-star benchmark: 79%
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

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier18 claims18 services$34.31 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 6

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

JOYFUL LIVING, LLC
Family Medicine
1248 KINOOLE ST, SUITE 101
HILO, HI 96720
Hawaii County (808) 935-8398
DR. MATTHEW S. DYKEMA D.O.
Family Medicine
1248 KINOOLE ST, SUITE 101
HILO, HI 96720
Hawaii County (808) 935-8398
DR. BENJAMIN M ONO MD
Internal Medicine
1248 KINOOLE ST, STE 103
HILO, HI 96720
Hawaii County (808) 935-7137
RODNEY T ONO MD INC
Clinic/Center
1248 KINOOLE ST, 101
HILO, HI 96720
Hawaii County (808) 935-8398
DR. RODNEY TADASHI ONO M.D.
Internal Medicine
1248 KINOOLE ST, SUITE 101
HILO, HI 96720
Hawaii County (808) 935-8398
RODNEY T. ONO, M.D., INC
Internal Medicine (Cardiovascular Disease)
1248 KINOOLE ST, SUITE 101
HILO, HI 96720
Hawaii County (808) 935-8398

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 Don Matsuura's NPI number?

The NPI number for Don Matsuura is 1720184120. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Don Matsuura located?

Don Matsuura practices at 1248 Kinoole St Ste 104, Hilo, HI 96720. The listed phone number is (808) 935-0056.

What is Don Matsuura's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Don Matsuura enrolled in Medicare?

Yes. Don Matsuura 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 Don Matsuura accept?

Health plans from HMSA list Don Matsuura 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.

Is Don Matsuura affiliated with any hospitals?

According to CMS data, Don Matsuura is affiliated with Hilo Medical Center.

When was this NPI record last updated?

The NPPES record for Don Matsuura was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.