DEAN H MATSUURA (MD) – Nephrology Physician, NPI 1104892223

DEAN H MATSUURA (MD) is a healthcare provider. based in York, Pennsylvania. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD057437L (PA). The NPI Number for DEAN H MATSUURA (MD) is 1104892223

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DEAN H MATSUURA (MD)
NPI
1104892223
Phone
(717) 747-3566
Address
1920 QUEENSWOOD DR
Enumeration Date
28 February 2006
Last Update Date
17 July 2012

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7177473566
Graduation Year
1992 (34 years ago)
PAC ID
8224056205
Group Practice PAC ID
8123093002
Professional Enrollment ID
I20051108000824
Address ID
PA174034269YO1920XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

738 NEPHROLOGY in PA

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Provider Addresses for DEAN H MATSUURA (MD)

  • 1920, Queenswood Drive, Villas on the Lake, York Township, York County, Pennsylvania, 17403, United States

    SUITE 200

    YORK, PA 174034269

    Phone: (717) 747-3566

    Fax: (717) 747-3678

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,070.

Total Amount is formed as General ($1,070) + Research ($0) + Ownership ($0) = $1,070.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Amgen Inc. ($145).

Total Amount

$1,070

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,070

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-11-08

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
I20051108000824INephrologyPATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes615169$0
99291Critical care, first 30-74 minutes17955$0
99215Established patient office or other outpatient visit, 40-54 minutes16596$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes115100$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)10614$0
View full utilization report →

Insurance plans in this area (ZIP 17403)

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Provider's Procedures

DEAN H MATSUURA (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYPA90935Hemodialysis procedure with one physician evaluation20278
NEPHROLOGYPA90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older2417

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: 8123093002View full group profile
NameSpecialtyState
Nurse PractitionerPA
-PA
Physician AssistantWA
N E P H R O L O G YPA
N E P H R O L O G YPA
N E P H R O L O G YPA
N E P H R O L O G YPA
N E P H R O L O G YPA

Reviews

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Frequently asked questions

What NPI should I save for DEAN H MATSUURA (MD)?
Save NPI 1104892223 if you need a stable reference for DEAN H MATSUURA (MD).
Is DEAN H MATSUURA (MD) currently active in the NPI registry?
CMS-published data lists DEAN H MATSUURA (MD) as an active registrant.
What does DEAN H MATSUURA (MD) treat or focus on?
Patients typically see DEAN H MATSUURA (MD) under the specialty Nephrology Physician. Clinical services aligned with this taxonomy classification.
Does DEAN H MATSUURA (MD) practice in Pennsylvania?
You will see York, Pennsylvania on file for DEAN H MATSUURA (MD) alongside any extra practice locations.
How can I contact DEAN H MATSUURA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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