DR. JOHN HENRY MATSUURA (MD) – Vascular Surgery Physician, NPI 1770591562
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
303 VASCULAR SURGERY in OH
Provider Addresses for DR. JOHN HENRY MATSUURA (MD)
122 Wyoming St
Dayton, OH 454092731
Phone: (937) 438-8640
Fax: (937) 438-8615
Type: Location
2300 MIAMI VALLEY DR STE 350
DAYTON, OH 454591294
Phone: (937) 424-2469
Fax: (937) 424-2479
Type: Location
Miami Valley Drive, Centerville, Montgomery County, Ohio, 45440, United States
STE 350
CENTERVILLE, OH 454591294
Phone: (937) 438-8640
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $506.
Total Amount is formed as General ($506) + Research ($0) + Ownership ($0) = $506.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Inari Medical, Inc. ($266).
Total Amount
$506
General + Research + Ownership
Payments
9
Total payment records
General Amount
$506
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $266 |
| Silk Road Medical, Inc. | $140 |
| ABBVIE INC. | $55 |
| Siemens Medical Solutions USA, Inc. | $23 |
| Penumbra, Inc. | $22 |
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: 2020-04-16
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 |
|---|---|---|---|---|
| I20200416002641 | I | General Surgery | HI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 35 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | 15 | $0 |
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 23 | 19 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 23 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 16 | $0 |
Insurance plans in this area (ZIP 45409)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | OH | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 229 | 212 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | AK | |
| Diagnostic Radiology, Interventional Radiology | DE | |
| - | IL | |
| P S Y C H I A T R Y | HI | |
| A N E S T H E S I O L O G Y | HI | |
| Interventional Cardiology, Internal Medicine | OR | |
| - | NJ | |
| Radiation Oncology | CA | |
| Nurse Practitioner | PA | |
| Plastic And Reconstructive Surgery | OH |
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