MATHEW J. SO (M.D.) – Diagnostic Radiology Physician, NPI 1215126503
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for MATHEW J. SO (M.D.)
166 4TH ST E
SAINT PAUL, MN 551011421
Phone: (651) 292-2000
Type: Mailing
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 551133905
Phone: (651) 292-0000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($42).
Total Amount
$42
General + Research + Ownership
Payments
1
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $42 |
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: 2022-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1049 days ago).
Enrollment records
3
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120716000497 | I | Diagnostic Radiology | MN | 2023-07-31 |
| I20130709000717 | I | Diagnostic Radiology | WI | 2023-07-31 |
| I20220915003748 | I | Diagnostic Radiology | ND | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 5,632 | 58 | $0 |
| 71046 | X-ray of chest, 2 views | 675 | 518 | $0 |
| 71045 | X-ray of chest, 1 view | 388 | 358 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 346 | 197 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 166 | 151 | $0 |
Insurance plans in this area (ZIP 55101)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MN | 71010 | X-ray of chest, 1 view, front | 403 | 349 |
| DIAGNOSTIC RADIOLOGY | MN | 71250 | CT scan chest | 64 | 63 |
| DIAGNOSTIC RADIOLOGY | MN | 73110 | X-ray of wrist, minimum of 3 views | 13 | 12 |
| DIAGNOSTIC RADIOLOGY | MN | 73630 | X-ray of foot, minimum of 3 views | 32 | 29 |
| DIAGNOSTIC RADIOLOGY | MN | 74177 | CT scan of abdomen and pelvis with contrast | 64 | 62 |
| DIAGNOSTIC RADIOLOGY | MN | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 14 | 14 |
| DIAGNOSTIC RADIOLOGY | MN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 38 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | MN | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | PA | |
| - | MN | |
| - | MN | |
| Diagnostic Radiology | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.