DR. MATTHEW ZAPF MD, MSC
NPI 1891115457
Orthopaedic Surgery in Palm Springs, CA

Active since April 22, 2014PECOS EnrolledAccepts Medicare Assignment
83.63/100
CMS Quality Rating
1180 N INDIAN CANYON DR STE 200, PALM SPRINGS, CA 92262(760) 416-4511(760) 416-4514 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 12, 2019, Sep 4, 2018, Jul 10, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Matthew Zapf Md, Msc NPPES

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

DR. MATTHEW ZAPF MD, MSC (NPI 1891115457) is an individual orthopaedic surgery provider in Palm Springs, California, licensed in California (A129583) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2012).

NPPES Registry Identity

NPI1891115457
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MATTHEW ZAPFCredential: MD, MSC
Location Address1180 N INDIAN CANYON DR STE 200Palm Springs, CA 92262-4857
Mailing Address1180 N Indian Canyon Dr Ste 200Palm Springs, CA 92262-4857 · (760) 416-4511 · Fax (760) 416-4514
Fax(760) 416-4514
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2012
Enumeration DateApril 22, 2014
Last NPPES UpdateSeptember 12, 20194 updates tracked since enumeration
NPI 1891115457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · A129583
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1180 N INDIAN CANYON DR STE 200, Palm Springs, CA 92262

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. Matthew Zapf Md, Msc 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 ID7719270636
PECOS Enrollment IDI20180727002292
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 2024 & 2026 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 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.
65 services49 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.
38 services36 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
34 services27 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.
29 services26 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
20 services20 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.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92262 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability97
Improvement Activities40
Cost62.56

Reported Quality Measures

Controlling High Blood Pressure
45%78 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
42%31 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
81%1,840 patients3/55-star benchmark: 100%
e-Prescribing
98%654 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
92%977 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
12%980 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 858 patients
Patients screened: 95% · 858 patients
69%71 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
64%757 patients3/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Clinical Neurophysiology)
1180 N INDIAN CANYON DR STE 200
PALM SPRINGS, CA 92262
Nurse Practitioner (Family)
1180 N INDIAN CANYON DR STE 200
PALM SPRINGS, CA 92262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891115457, enumerated as an "individual" on April 22, 2014.

The provider is located at 1180 N INDIAN CANYON DR STE 200 PALM SPRINGS, CA 92262 and the phone number is (760) 416-4511.

Orthopaedic Surgery with taxonomy code 207X00000X.