1. Home
  2. Directory
  3. California
  4. San Diego
  5. Otolaryngology
  6. NPI Profile

DR. MATTHEW LUTCH M.D.
NPI 1790836930
Otolaryngology in San Diego, CA

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
5893 COPLEY DR, KAISER PERMANENTE, SAN DIEGO, CA 92111(858) 616-5100(858) 616-5111 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Matthew Lutch M.d. NPPES

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

DR. MATTHEW LUTCH M.D. (NPI 1790836930) is an individual otolaryngology provider in San Diego, California, licensed in California (A91929) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1790836930
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MATTHEW LUTCHCredential: M.D.
Location Address5893 COPLEY DR, KAISER PERMANENTESan Diego, CA 92111-7906
Mailing Address5893 Copley Dr, Kaiser PermanenteSan Diego, CA 92111-7906 · (858) 616-5100 · Fax (858) 616-5111
Phone(858) 616-5100
Fax(858) 616-5111
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 15, 2007
Last NPPES UpdateDecember 6, 2021
✔ NPI 1790836930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · A91929
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
5893 COPLEY DR, San Diego, CA 92111
Open in Google Maps ↗

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

Dr. Matthew Lutch 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.

PECOS PAC ID5294806360
PECOS Enrollment IDI20091008000512
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 Matthew Lutch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.4 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92111 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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.

NICOLE SLIWAK
Occupational Therapist
5893 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (833) 574-2273
KRISTIE JENSHUAN HSIEH MS OTRL
Occupational Therapist (Hand)
5893 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (248) 318-3369
YU TIN CHU CHEN
Audiologist
5893 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (562) 210-6704
DR. ALEXANDER STEWART MD
Otolaryngology
5893 COPLEY DR, KAISER PERMANENTE GARFIELD SPECIALTY CENTER
SAN DIEGO, CA 92111
San Diego County (858) 616-5100
DR. SOYEON KAREN CHUNG PH.D.
Psychologist
5893 COPLEY DR, PAIN MANAGEMENT
SAN DIEGO, CA 92111
San Diego County (866) 413-1582
DR. MICHELLE ELAINE KOSKI M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
5893 COPLEY DR, KAISER GARFIELD DEPARTMENT OF UROLOGY
SAN DIEGO, CA 92111
San Diego County (888) 694-7857
SAYJAL J PATEL M.D.
Ophthalmology
5893 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (844) 424-1867
DR. SHINKO LIN M.D.
Dermatology
5893 COPLEY DR
SAN DIEGO, CA 92111
San Diego County (858) 212-5626

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 Lutch's NPI number?

The NPI number for Matthew Lutch is 1790836930. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Matthew Lutch located?

Matthew Lutch practices at 5893 Copley Dr Kaiser Permanente, San Diego, CA 92111. The listed phone number is (858) 616-5100.

What is Matthew Lutch's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Matthew Lutch enrolled in Medicare?

Yes. Matthew Lutch 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 Matthew Lutch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Lutch reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Matthew Lutch'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 Lutch was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.