DR. MAVIS N MATSUMOTO (M.D.) – Internal Medicine Physician, NPI 1942213558
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,575 INTERNAL MEDICINE in NV
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Provider Addresses for DR. MAVIS N MATSUMOTO (M.D.)
PO BOX 530656
HENDERSON, NV 890530656
Phone: (702) 992-4050
Fax: (702) 992-4052
Type: Mailing
2780, West Horizon Ridge Parkway, Sunridge Heights, Henderson, Clark County, Nevada, 89052, United States
SUITE 30
HENDERSON, NV 890523995
Phone: (702) 992-4050
Fax: (702) 992-4052
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 110 Open Payments records for all available years, with a total value of $3,987.
Total Amount is formed as General ($3,987) + Research ($0) + Ownership ($0) = $3,987.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($495).
Total Amount
$3,987
General + Research + Ownership
Payments
110
Total payment records
General Amount
$3,987
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $495 |
| ABBVIE INC. | $448 |
| Intra-Sana Laboratories | $418 |
| Incyte Corporation | $249 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $230 |
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: 2011-08-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110804000339 | I | Internal Medicine | NV | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 196 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 195 | 109 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 164 | 164 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 88 | 30 | $0 |
| G0008 | Administration of influenza virus vaccine | 74 | 74 | $0 |
Insurance plans in this area (ZIP 89053)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV |
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