BERTRAM T MATSUMOTO (MD) – Ophthalmology Physician, NPI 1477557494

BERTRAM T MATSUMOTO (MD) is a healthcare provider. based in Tempe, Arizona. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 24096 (AZ). The NPI Number for BERTRAM T MATSUMOTO (MD) is 1477557494

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
BERTRAM T MATSUMOTO (MD)
NPI
1477557494
Phone
(480) 839-0206
Address
3200 S COUNTRY CLUB WAY
Enumeration Date
8 June 2005
Last Update Date
31 October 2011

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4808390206
Graduation Year
1991 (35 years ago)
PAC ID
1759573215
Group Practice PAC ID
1052309374
Professional Enrollment ID
I20101004000302
Address ID
AZ852824054TE3200XWAYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

355 OPHTHALMOLOGY in AZ

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Provider Addresses for BERTRAM T MATSUMOTO (MD)

  • South Country Club Way, The Landings, Tempe, Maricopa County, Arizona, 85283-3048, United States

    TEMPE, AZ 852824054

    Phone: (480) 839-0206

    Fax: (480) 839-0208

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Rayner Intraocular Lenses Limited ($137).

Total Amount

$201

General + Research + Ownership

Payments

9

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101004000302IOphthalmologyAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1,4141,363$0
99213Established patient office or other outpatient visit, 20-29 minutes611447$0
92133Imaging of optic nerve356327$0
92136Measurement of corneal curvature and depth of eye327247$0
66984Removal of cataract with insertion of prosthetic lens318208$0
View full utilization report →

Insurance plans in this area (ZIP 85282)

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Provider's Procedures

BERTRAM T MATSUMOTO (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYAZ92012Eye and medical examination for diagnosis and treatment, established patient1031656
OPHTHALMOLOGYAZ92083Measurement of field of vision during daylight conditions241240
OPHTHALMOLOGYAZ92134Diagnostic imaging of retina167157

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052309374View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAZ
O P H T H A L M O L O G YDE
O P H T H A L M O L O G YAZ
O P T O M E T R YOH
O P T O M E T R YAZ

Reviews

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Frequently asked questions

Where can patients find BERTRAM T MATSUMOTO (MD)'s NPI?
You can confirm BERTRAM T MATSUMOTO (MD) with NPI 1477557494; it appears in the national provider directory.
Is BERTRAM T MATSUMOTO (MD)'s NPI currently valid?
The extract we use shows BERTRAM T MATSUMOTO (MD) as active.
What field does BERTRAM T MATSUMOTO (MD) work in?
You can think of BERTRAM T MATSUMOTO (MD) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place BERTRAM T MATSUMOTO (MD)?
The snapshot lists Tempe, Arizona for BERTRAM T MATSUMOTO (MD); download NPPES for the complete set.
What if Tempe, Arizona seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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