TIM MATATOV M.D.
NPI 1104093301
Surgery - Plastic and Reconstructive Surgery in Phoenix, AZ
NPI Status: Active since May 15, 2008
Contact Information
2801 E CAMELBACK RD STE 100
PHOENIX, AZ
ZIP 85016
Phone: (480) 576-4310
Fax: (480) 576-4311
- Individual
- Male
- Surgery
- Plastic and Reconstructive Surgery
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About TIM MATATOV
This page provides the complete NPI Profile along with additional information for Tim Matatov, a provider established in Phoenix, Arizona with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1104093301 assigned on May 2008. The practitioner's primary taxonomy code is 2086S0122X with license number 52217 (AZ). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1104093301
- Provider Name
- TIM MATATOV M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2801 E CAMELBACK RD STE 100 PHOENIX, AZ 85016
- Location Phone
- (480) 576-4310
- Location Fax
- (480) 576-4311
- Mailing Address
- 2801 E CAMELBACK RD STE 100 PHOENIX, AZ 85016
- Mailing Phone
- (480) 576-4310
- Mailing Fax
- (480) 576-4311
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-15-2008
- Last Update Date
- 11-20-2024
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Tim Matatov opted out of Medicare effective on 03-15-2022 until 03-15-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 3377 S Price Rd Ste E
Chandler, AZ 85248
(480) 576-4300
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 52217
- License State
- AZ
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - Neighborhood Network - HMO
- Blue StandardHealth Silver - Neighborhood Network - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Tim Matatov is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-15-2022
Opt-Out End Date: 03-15-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for TIM MATATOV M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 9 | 3 | 3 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 9 | 6 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 9 + 6 + 3 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1104093301 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366685711 | JOSEPH ZAKHARY MD Individual | Plastic Surgery | 2801 E CAMELBACK RD STE 100 PHOENIX, AZ 85016 (480) 576-4310 |
| 1942700984 | JOSEPH ZAKHARY MD LLC Organization | Plastic Surgery | 2801 E CAMELBACK RD STE 100 PHOENIX, AZ 85016 (480) 576-4310 |
| 1972965820 | DR. ARVIND UMESH GOWDA M.D. Individual | Plastic Surgery | 2801 E CAMELBACK RD STE 100 PHOENIX, AZ 85016 (480) 576-4310 |
| 1265766125 | DR. MATTHEW MINO M.D. Individual | Plastic Surgery | 2801 E CAMELBACK RD STE 100 PHOENIX, AZ 85016 (480) 576-4310 |
| 1003679580 | BEAUTY EDIT Organization | Specialist/Technologist, Other | 2801 E CAMELBACK RD STE 100 PHOENIX, AZ 85016 (503) 258-7885 |
| 1740046358 | SEANN COOK Individual | Specialist/Technologist, Other | 2801 E CAMELBACK RD STE 100 PHOENIX, AZ 85016 (503) 258-7885 |
| 1386237394 | SOUTHWEST BREAST AND AESTHETICS, LLC Organization | Surgery (Plastic and Reconstructive Surgery) | 2801 E CAMELBACK RD STE 100 PHOENIX, AZ 85016 (480) 576-4310 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104093301, enumerated in the NPI registry as an "individual" on May 15, 2008
The provider is located at 2801 E Camelback Rd Ste 100 Phoenix, Az 85016 and the phone number is (480) 576-4310
The provider's speciality is Surgery with taxonomy code 2086S0122X with a focus in Plastic and Reconstructive Surgery
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, BannerAetna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
No, the provider signed an affidavit on March 15, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 15, 2026.
This NPI record was last updated on May 15, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.