KEVIN K MATSUBA (MD) – Diagnostic Radiology Physician, NPI 1376500710

KEVIN K MATSUBA (MD) is a healthcare provider. based in Newport, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD24745 (OR). The NPI Number for KEVIN K MATSUBA (MD) is 1376500710

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN K MATSUBA (MD)
NPI
1376500710
Phone
(541) 265-2244
Address
930 SW Abbey St
Enumeration Date
28 April 2006
Last Update Date
1 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415747235
Graduation Year
1990 (36 years ago)
PAC ID
6608764584
Group Practice PAC ID
2466353529
Professional Enrollment ID
I20040310001097

Contacts

Secure Messaging
mmatsuba7649@samhealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

532 DIAGNOSTIC RADIOLOGY in OR

Provider Addresses for KEVIN K MATSUBA (MD)

  • 930 SW Abbey St

    Newport, OR 973654820

    Phone: (541) 265-2244

    Type: Location

  • 2314, Northwest Kings Boulevard, Corvallis, Benton County, Oregon, 97330, United States

    PO BOX 1418

    CORVALLIS, OR 973303925

    Phone: (541) 758-5047

    Fax: (541) 758-3713

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-03-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040310001097IDiagnostic RadiologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view135122$0
71046X-ray of chest, 2 views5555$0
74177Ct scan of abdomen and pelvis with contrast4141$0
70450Ct scan head or brain without contrast2929$0
71260Ct scan of chest with contrast2020$0
View full utilization report →

Insurance plans in this area (ZIP 97365)

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Provider's Procedures

KEVIN K MATSUBA (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOR71010X-ray of chest, 1 view, front372302
DIAGNOSTIC RADIOLOGYOR71250CT scan chest4545
DIAGNOSTIC RADIOLOGYOR73562X-ray of knee, 3 views3736
DIAGNOSTIC RADIOLOGYOR73630X-ray of foot, minimum of 3 views1717
DIAGNOSTIC RADIOLOGYOR74177CT scan of abdomen and pelvis with contrast3028
DIAGNOSTIC RADIOLOGYOR93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3231

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466353529View full group profile
NameSpecialtyState
-LA
-OR
Certified Registered Nurse Anesthetist (Crna)OR
Physician AssistantOR
Certified Registered Nurse Anesthetist (Crna)OR
Internal MedicineOR
General SurgeryOR
Diagnostic RadiologyMA
-OR
Diagnostic RadiologyOR

Reviews

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Frequently asked questions

What federal number belongs to KEVIN K MATSUBA (MD)?
The federal identifier for KEVIN K MATSUBA (MD) is NPI 1376500710.
Is KEVIN K MATSUBA (MD)'s NPI currently valid?
The extract we use shows KEVIN K MATSUBA (MD) as active.
What kind of provider is KEVIN K MATSUBA (MD)?
The page reflects Diagnostic Radiology Physician for KEVIN K MATSUBA (MD). Clinical services aligned with this taxonomy classification.
What location shows for KEVIN K MATSUBA (MD)?
We surface Newport, Oregon for KEVIN K MATSUBA (MD) based on available NPPES addresses.
What if Newport, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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