DR. ORLANDO O MATIAS D.O
NPI 1992773402
Family Medicine in Okemos, MI

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
2104 JOLLY RD, SUITE 290, OKEMOS, MI 48864(517) 220-4507(517) 575-6869 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Orlando O Matias D.o NPPES

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

DR. ORLANDO O MATIAS D.O (NPI 1992773402) is an individual family medicine provider in Okemos, Michigan, licensed in Michigan (5101014979) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2001).

NPPES Registry Identity

NPI1992773402
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ORLANDO O MATIASCredential: D.O
Location Address2104 JOLLY RD, SUITE 290Okemos, MI 48864-6043
Mailing Address16943 Broadview DrEast Lansing, MI 48823-9662 · (517) 339-1179
Fax(517) 575-6869
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2001
Enumeration DateMarch 9, 2006
Last NPPES UpdateJanuary 9, 2017
NPI 1992773402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101014979
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.
2104 JOLLY RD, Okemos, MI 48864

Other Identifiers 3

Medicare UPIN4619003MI
Medicare ID-Type UnspecifiedON91300MI
Medicaid4619003MI

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

Dr. Orlando O Matias D.o 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 ID7214826965
PECOS Enrollment IDI20040311001194
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 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.

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.
186 services74 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.
52 services35 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.
31 services31 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
16 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Eaton Rapids Medical Center

Critical Access Hospitals · Eaton Rapids, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231324
Location1500 S Main StreetEaton Rapids, MI 48827 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48864 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities20
Cost75.56

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%99 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
99%302 patients4/55-star benchmark: 100%
Breast Cancer Screening
69%220 patients3/55-star benchmark: 93%
Cervical Cancer Screening
0%232 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
65%618 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
76%445 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
59%148 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%148 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,881 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
39%416 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
77%1,017 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
79%897 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%1,218 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 49% · 939 patients
Patients screened: 51% · 939 patients
55%49 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 440 patients
Patients totalRate: 0% · 440 patients
0%440 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers34 claims108 services$5.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims21 services$0.99 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$25.97 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
2 suppliers13 claims13 services$83.95 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 7

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

Nurse Practitioner
2104 JOLLY RD, SUITE 220
OKEMOS, MI 48864
Clinic/Center (Primary Care)
2104 JOLLY RD, SUITE 290
OKEMOS, MI 48864
Family Medicine
2104 JOLLY RD, SUITE 290
OKEMOS, MI 48864
Advanced Practice Midwife
2104 JOLLY RD, SUITE 220
OKEMOS, MI 48864
Obstetrics & Gynecology
2104 JOLLY RD, SUITE 220
OKEMOS, MI 48864
Dentist (General Practice)
2104 JOLLY RD, SUITE 260
OKEMOS, MI 48864
Family Medicine
2104 JOLLY RD, STE 240
OKEMOS, MI 48864

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 Orlando Matias's NPI number?

The NPI number for Orlando Matias is 1992773402. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Orlando Matias located?

Orlando Matias practices at 2104 Jolly Rd Suite 290, Okemos, MI 48864. The listed phone number is (517) 220-4507.

What is Orlando Matias's specialty?

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

Is Orlando Matias enrolled in Medicare?

Yes. Orlando Matias 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 Orlando Matias accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Orlando Matias 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 Orlando Matias affiliated with any hospitals?

According to CMS data, Orlando Matias is affiliated with Mclaren Greater Lansing, Edward W Sparrow Hospital and Eaton Rapids Medical Center.

When was this NPI record last updated?

The NPPES record for Orlando Matias was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.