IVAN RAFAEL MATOS DIAZ (M.D.) – Neurology Physician, NPI 1972859767
Neurology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
640 NEUROLOGY in MN
Provider Addresses for IVAN RAFAEL MATOS DIAZ (M.D.)
701 PARK AVE
MINNEAPOLIS, MN 554151623
Phone: (612) 873-2939
Type: Mailing
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
Phone: (612) 262-9000
Type: Mailing
800 E 28TH ST
MINNEAPOLIS, MN 554073723
Phone: (612) 863-3200
Fax: (612) 863-2837
Type: Location
PO BOX 198054
ATLANTA, GA 303848054
Phone: (786) 596-3876
Type: Mailing
8950 N KENDALL DR STE 407W
MIAMI, FL 331762132
Phone: (786) 596-3876
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,307.
Total Amount is formed as General ($1,307) + Research ($0) + Ownership ($0) = $1,307.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Janssen Research & Development, LLC ($919).
Total Amount
$1,307
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,307
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Research & Development, LLC | $919 |
| Neurelis, Inc. | $121 |
| UCB, Inc. | $121 |
| AstraZeneca Pharmaceuticals LP | $62 |
| Medtronic, Inc. | $53 |
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: 2025-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20170608000057 | I | Neurology | MN | TBD |
| I20251204000106 | I | Neurology | WI | TBD |
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.
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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 126 | 120 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 93 | 77 | $0 |
| 99291 | Critical care, first 30-74 minutes | 68 | 42 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 55415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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