DR. SARA ELIZABETH MATSUMOTO (MD) – Surgery Physician, NPI 1396208450
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,619 GENERAL SURGERY in NY
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Provider Addresses for DR. SARA ELIZABETH MATSUMOTO (MD)
4303 LACLEDE AVE APT C
SAINT LOUIS, MO 631082250
Phone: (480) 310-0291
Type: Mailing
Westchester Medical Center, 100, Woods Road, Mount Pleasant, Town of Mount Pleasant, Westchester, New York, 10595, United States
VALHALLA, NY 105951530
Phone: (480) 310-0291
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-5298
Fax: (888) 824-2176
Type: Mailing
1 BARNES JEWISH HOSPITAL PLZ
DIV SURG ACCS
SAINT LOUIS, MO 631101003
Phone: (314) 362-5298
Fax: (888) 824-2176
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $232.
Total Amount is formed as General ($232) + Research ($0) + Ownership ($0) = $232.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Davol Inc. ($207).
Total Amount
$232
General + Research + Ownership
Payments
4
Total payment records
General Amount
$232
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $207 |
| Takeda Pharmaceuticals U.S.A., Inc. | $25 |
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: 2025-06-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250627000285 | I | General Surgery | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
Reviews
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