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KOJIRO MATSUMOTO MD
NPI 1780813840
Family Medicine in Deerfield, IL

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment
1436 DEERFIELD RD, DEERFIELD, IL 60015(312) 731-0331 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kojiro Matsumoto Md NPPES

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

KOJIRO MATSUMOTO MD (NPI 1780813840) is an individual family medicine provider in Deerfield, Illinois, licensed in Illinois (125-057080) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1780813840
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKOJIRO MATSUMOTOCredential: MD
Location Address1436 DEERFIELD RDDeerfield, IL 60015-2758
Mailing Address1436 Deerfield RdDeerfield, IL 60015-2758 · (312) 731-0331
Phone(312) 731-0331
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 10, 2009
Last NPPES UpdateJuly 20, 2020
NPPES CertifiedJuly 20, 2020
✔ NPI 1780813840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125-057080
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.
1436 DEERFIELD RD, Deerfield, IL 60015
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Secondary Practice Location 1

Location 1520 N 4th StSpringfield, IL 62702-5238 · Phone (217) 757-8100 · Fax (217) 747-1351

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

Kojiro Matsumoto 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 ID9234387598
PECOS Enrollment IDI20120912000418
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.

Medicare Billing Reassignment

Medicare enrollment records show Kojiro Matsumoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nihon Medical Clinic, S.C.
10 mi
Medical Genetics, Ph.D. Medical Genetics
2010 S ARLINGTON HEIGHTS RD, SUITE 101
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1548532526 (847) 952-8910

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 5

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
64 services39 patients
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.
50 services27 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.
33 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60015 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES

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

MEDREAT
Clinic/Center
1436 DEERFIELD RD
DEERFIELD, IL 60015
Lake County (312) 731-0331

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 Kojiro Matsumoto's NPI number?

The NPI number for Kojiro Matsumoto is 1780813840. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Kojiro Matsumoto located?

Kojiro Matsumoto practices at 1436 Deerfield Rd, Deerfield, IL 60015. The listed phone number is (312) 731-0331.

What is Kojiro Matsumoto's specialty?

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

Is Kojiro Matsumoto enrolled in Medicare?

Yes. Kojiro Matsumoto 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 organization bills Medicare for Kojiro Matsumoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kojiro Matsumoto reassigns Medicare benefits to Nihon Medical Clinic, S.C. (Arlington Heights, IL). The 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 Kojiro Matsumoto'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 Kojiro Matsumoto was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.