DR. MATTHEW LANDON (MD) – Diagnostic Radiology Physician, NPI 1447590245

DR. MATTHEW LANDON (MD) is a healthcare provider. based in San diego, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 303933 (NY). The NPI Number for DR. MATTHEW LANDON (MD) is 1447590245

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW LANDON (MD)
NPI
1447590245
Phone
(619) 865-2654
Address
8573 TOMMY DR
Enumeration Date
15 February 2013
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6157718668
Graduation Year
2013 (13 years ago)
PAC ID
6002227923
Group Practice PAC ID
3375447139
Professional Enrollment ID
I20250612003859
Address ID
TN370672872FR2009XLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for DR. MATTHEW LANDON (MD)

  • 8573 TOMMY DR

    SAN DIEGO, CA 921192009

    Phone: (619) 865-2654

    Type: Mailing

  • 1145 STURGIS RD

    TWENTYNINE PALMS, CA 92278

    Phone: (760) 830-2710

    Type: Location

  • 1145 Sturgis Rd

    Twentynine Palms, CA 92278

    Phone: (760) 830-2710

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372320001

    Phone: (615) 322-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20201125002586IDiagnostic RadiologyNYTBD
I20210902003280IDiagnostic RadiologyCATBD
I20220412000220IDiagnostic RadiologyFLTBD
I20250612003859IDiagnostic RadiologyTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92119)

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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: 3375447139View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Radiation Oncology, NeurologyTN
Diagnostic RadiologyNY
Diagnostic RadiologyTN
Diagnostic RadiologyAL
-TN
Diagnostic RadiologyGA
Diagnostic RadiologyTN
Diagnostic Radiology, Interventional RadiologyTN
Nuclear MedicineTN

Reviews

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Frequently asked questions

Can I cross-check DR. MATTHEW LANDON (MD) using NPI 1447590245?
NPI 1447590245 belongs to DR. MATTHEW LANDON (MD); compare other details if you need extra assurance.
Is DR. MATTHEW LANDON (MD) still an active registrant?
DR. MATTHEW LANDON (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. MATTHEW LANDON (MD)?
At a glance, DR. MATTHEW LANDON (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MATTHEW LANDON (MD) associated with San Diego?
Public fields place DR. MATTHEW LANDON (MD) around San Diego, California. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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