ANDREW MATTHYS
NPI 1790103877
Internal Medicine - Pulmonary Disease in Sacramento, CA

Active since April 04, 2014PECOS EnrolledAccepts Medicare Assignment
99.01/100
CMS Quality Rating
4150 V ST STE 3400, SACRAMENTO, CA 95817(916) 734-3564 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 2020, Jul 10, 2018 (2 updates tracked since 2018).

About Andrew Matthys NPPES

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

ANDREW MATTHYS (NPI 1790103877) is an individual pulmonary disease provider in Sacramento, California, licensed in California (A140863) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790103877
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameANDREW MATTHYS
Location Address4150 V ST STE 3400Sacramento, CA 95817
Mailing Address4150 V St Ste 3400Sacramento, CA 95817-1460
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 4, 2014
Last NPPES UpdateJune 3, 20202 updates tracked since enumeration
NPPES CertifiedJune 3, 2020
NPI 1790103877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A140863
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

4150 V ST STE 3400, Sacramento, CA 95817

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

Andrew Matthys 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 ID8224321229
PECOS Enrollment IDI20170726004178
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 19

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
327 services147 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
209 services93 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
152 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
104 services76 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

99.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.31
Promoting Interoperability100
Improvement Activities40
Cost71.64

Referred Medical Equipment & Supplies CMS DME claims 8

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier14 claims21 services$1.38 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers16 claims16 services$780.21 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers91 claims91 services$3.19 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers22 claims22 services$31.69 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$69.06 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$34.12 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 20

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

Internal Medicine (Critical Care Medicine)
4150 V ST STE 3400, UC DAVIS MEDICAL CENTER
SACRAMENTO, CA 95817
Nurse Practitioner
4150 V ST STE 3400, PSSB-SUITE 1200, MED: INTERNAL MED/PUL/HOSPITAL MED
SACRAMENTO, CA 95817
Internal Medicine (Pulmonary Disease)
4150 V ST STE 3400, DIVISION OF PULMONARY, CRITICAL CARE & SLEEP MEDICINE
SACRAMENTO, CA 95817
Specialist
4150 V ST STE 3400, DEPARTMENT OF MEDICINE / SECTION OF HOSPITAL MEDICINE
SACRAMENTO, CA 95817
Internal Medicine
4150 V ST STE 3400, UNIVERSITY OF CALIFORNIA DAVIS
SACRAMENTO, CA 95817
Internal Medicine
4150 V ST STE 3400
SACRAMENTO, CA 95817
Internal Medicine
4150 V ST STE 3400
SACRAMENTO, CA 95817
Internal Medicine
4150 V ST STE 3400
SACRAMENTO, CA 95817

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 Andrew Matthys's NPI number?

The NPI number for Andrew Matthys is 1790103877. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Where is Andrew Matthys located?

Andrew Matthys practices at 4150 V St Ste 3400, Sacramento, CA 95817. The listed phone number is (916) 734-3564.

What is Andrew Matthys's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Andrew Matthys enrolled in Medicare?

Yes. Andrew Matthys 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 Andrew Matthys was last updated on June 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.