MATTHIAS H KAPTURCZAK MD
NPI 1861429755
Internal Medicine - Nephrology in San Antonio, TX

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4330 MEDICAL DR STE 105, SAN ANTONIO, TX 78229(210) 692-7228(210) 692-9671 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthias H Kapturczak Md NPPES

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

MATTHIAS H KAPTURCZAK MD (NPI 1861429755) is an individual nephrology provider in San Antonio, Texas, licensed in Texas (M7318) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1861429755
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMATTHIAS H KAPTURCZAKCredential: MD
Location Address4330 MEDICAL DR STE 105San Antonio, TX 78229-3342
Mailing Address7142 San Pedro Ave, Suite 120San Antonio, TX 78216-6254 · (210) 661-5622 · Fax (210) 798-6811
Fax(210) 692-9671
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 27, 2006
Last NPPES UpdateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
NPI 1861429755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in TX · M7318 Licensed in AL · 25618
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4330 MEDICAL DR STE 105, San Antonio, TX 78229

Other Identifiers 7

Other00522291MS · Mississippi Medicaid
Medicaid051554438AL
Other051519669AL · Blue Cross
OtherP00605744TX · Medicare Railroad
Medicaid009942785AL
Medicaid192391401TX
Other051519668AL · Blue Cross

Accepted 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

Matthias H Kapturczak 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 ID8527961432
PECOS Enrollment IDI20071120000494
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 4

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.

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.
172 services69 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.
102 services46 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.
62 services48 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.
36 services35 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 12

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

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers41 claims2,460 services$1.64 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
6 suppliers107 claims76,800 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
30 suppliers628 claims92,044 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
10 suppliers57 claims9,200 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers31 claims4,980 services$0.62 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
36 suppliers726 claims111,478 services$0.19 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.

Internal Medicine (Nephrology)
4330 MEDICAL DR STE 105
SAN ANTONIO, TX 78229
Internal Medicine (Nephrology)
4330 MEDICAL DR STE 105
SAN ANTONIO, TX 78229
Internal Medicine (Nephrology)
4330 MEDICAL DR STE 105
SAN ANTONIO, TX 78229
Internal Medicine (Nephrology)
4330 MEDICAL DR STE 105
SAN ANTONIO, TX 78229
Nurse Practitioner (Acute Care)
4330 MEDICAL DR STE 105
SAN ANTONIO, TX 78229
Internal Medicine (Nephrology)
4330 MEDICAL DR STE 105
SAN ANTONIO, TX 78229

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 Matthias Kapturczak's NPI number?

The NPI number for Matthias Kapturczak is 1861429755. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Matthias Kapturczak located?

Matthias Kapturczak practices at 4330 Medical Dr Ste 105, San Antonio, TX 78229. The listed phone number is (210) 692-7228.

What is Matthias Kapturczak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Matthias Kapturczak enrolled in Medicare?

Yes. Matthias Kapturczak 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 Matthias Kapturczak accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Matthias Kapturczak 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 Matthias Kapturczak affiliated with any hospitals?

According to CMS data, Matthias Kapturczak is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Matthias Kapturczak was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.