MARK ALEXANDER MATZA
NPI 1306264577
Internal Medicine - Rheumatology in Boston, MA
NPI Status: Active since April 03, 2014
Contact Information
55 FRUIT ST
BOSTON, MA
ZIP 02114
Phone: (617) 726-7938
Fax: (617) 643-1274
- Individual
- Male
- Years of Experience 12
- Internal Medicine
- Rheumatology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARK MATZA
This page provides the complete NPI Profile along with additional information for Mark Matza, an internist established in Boston, Massachusetts with a medical specialization in Internal Medicine, focusing in rheumatology and more than 12 years of experience. He graduated from Georgetown University School Of Medicine in 2014. The healthcare provider is registered in the NPI registry with number 1306264577 assigned on April 2014. The practitioner's primary taxonomy code is 207RR0500X with license number 278791 (MA). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1306264577
- Provider Name
- MARK ALEXANDER MATZA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 55 FRUIT ST BOSTON, MA 02114
- Location Phone
- (617) 726-7938
- Location Fax
- (617) 643-1274
- Mailing Address
- 55 FRUIT ST BOSTON, MA 02114
- Mailing Phone
- (617) 726-7938
- Mailing Fax
- (617) 643-1274
- Medical School Name
- GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2014
- Last Update Date
- 06-18-2019
- Code Navigator
An internist like Mark Matza is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
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
Internal Medicine Rheumatology
- Taxonomy Code
- 207RR0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 278791
- License State
- MA
- Taxonomy Description
- An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mark Matza is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mark Matza 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
PECOS PAC ID: 7315211380
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20190618002908
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from small joint using ultrasound guidance
Aspiration and/or injection of fluid large joint using ultrasound guidance
Complete ultrasound scan of joint
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Established patient office or other outpatient visit, 40-54 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Initial hospital inpatient care per day, typically 70 minutes
Injection, methylprednisolone acetate, 40 mg
Injection, methylprednisolone acetate, 80 mg
Limited ultrasound scan of joint or other extremity structure lacking blood vessels
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
Telephone medical discussion with physician, 21-30 minutes
This procedure involves using ultrasound to accurately locate a small joint. A needle is then carefully inserted to remove fluid (aspiration) or inject medication. This can help diagnose or treat joint issues. It's generally safe and minimally invasive.
This service was performed 11 times for 11 patientsThis procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
This service was performed 36 times for 29 patientsA complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.
This service was performed 39 times for 28 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 211 times for 150 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 82 times for 71 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 150 times for 114 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 26 times for 26 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 24 times for 15 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 13 times for 12 patientsMethylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
This service was performed 21 times for 16 patientsMethylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
This service was performed 45 times for 30 patientsA limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
This service was performed 39 times for 31 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 12 times for 12 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 13 times for 13 patientsThis service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 74 times for 55 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $27.79 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Matza is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| NORTH SHORE MEDICAL CENTER - | 81 HIGHLAND AVENUE SALEM, MA 01970 | (978) 741-1215 | Acute Care Hospitals | |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT STREET BOSTON, MA 02114 | (617) 724-9725 | Acute Care Hospitals | |
| NEWTON-WELLESLEY HOSPITAL | 2014 WASHINGTON STREET NEWTON, MA 02462 | (617) 243-6000 | Acute Care Hospitals | |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS STREET BOSTON, MA 02115 | (617) 732-5500 | Acute Care Hospitals | |
| WENTWORTH-DOUGLASS HOSPITAL | 789 CENTRAL AVE DOVER, NH 03820 | (603) 740-2580 | Acute Care Hospitals |
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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 | 3 | 0 | 6 | 2 | 6 | 4 | 5 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 4 | 6 | 8 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 4 + 6 + 8 + 5 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1306264577 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982600144 | ANDREW T CHAN M.D. Individual | Internal Medicine (Gastroenterology) | 55 FRUIT ST BOSTON, MA 02114 (617) 726-3212 |
| 1538166889 | KALOYAN S TANEV MD Individual | Psychiatry & Neurology (Psychiatry) | 55 FRUIT ST WARREN 1220 BOSTON, MA 02114 (617) 726-7511 |
| 1124028238 | DR. DEBRA F WEINSTEIN MD Individual | Internal Medicine (Gastroenterology) | 55 FRUIT ST BOSTON, MA 02114 (617) 724-6007 |
| 1225023658 | BRADEN KUO M.D. Individual | Internal Medicine (Gastroenterology) | 55 FRUIT ST BLAKE 4, GI UNIT. MGH BOSTON, MA 02114 (617) 726-2132 |
| 1881680767 | DR. NANCY J GAGLIANO MD Individual | Internal Medicine | 55 FRUIT ST 4710B BOSTON, MA 02114 (617) 724-6700 |
| 1285620161 | DR. DAVID F TORCHIANA MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 FRUIT ST BUL 119 BOSTON, MA 02114 (617) 724-9644 |
| 1205823176 | DAVID MICHAEL SHAHIAN MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 FRUIT ST MGH, BULFINCH 2 BOSTON, MA 02114 (617) 643-4335 |
| 1396734570 | DR. JAY JEFFREY SCHNITZER M.D., PH.D. Individual | Surgery | 55 FRUIT ST PEDIATRIC SURGERY, WRN 11 BOSTON, MA 02114 (617) 724-1602 |
| 1538158696 | DR. THEODORE JOSEPH ONGARO MD Individual | Urology | 55 FRUIT ST GRB 1102 BOSTON, MA 02114 (617) 726-3012 |
| 1922098730 | DR. WEI CHAO MD PHD Individual | Anesthesiology | 55 FRUIT ST CLN 3 BOSTON, MA 02114 (617) 724-3267 |
| 1194715904 | DR. MAURICE ALBRIGHT MD Individual | Orthopaedic Surgery | 55 FRUIT ST YAW 3E ORTHOPAEDIC ASSOCIATES BOSTON, MA 02114 (617) 726-8523 |
| 1841280674 | DR. GREGORY YVES LAUWERS MD Individual | Pathology (Anatomic Pathology) | 55 FRUIT ST PATHOLOGY ASSOCIATES WRN 2 BOSTON, MA 02114 (617) 726-2931 |
| 1609866516 | DR. KENT BALANIS LEWANDROWSKI MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 55 FRUIT ST GRB 5 PATHOLOGY ASSOCIATES BOSTON, MA 02114 (617) 726-2275 |
| 1114917986 | DR. JEFFREY A GELFAND MD Individual | Allergy & Immunology | 55 FRUIT ST S50-801 INFECTIOUS DISEASE ASSOCIATES BOSTON, MA 02114 (617) 726-1796 |
| 1750371563 | DR. KATHLEEN BRIGID TRAINOR PSYD Individual | Psychologist | 55 FRUIT ST YAW 6A MASSACHUSSETTS GENERAL HOSPITAL BOSTON, MA 02114 (617) 724-6300 |
| 1073503884 | DR. BOYD TAYLOR THOMPSON MD Individual | Internal Medicine (Pulmonary Disease) | 55 FRUIT ST BOSTON, MA 02114 (617) 724-3705 |
| 1992795512 | DR. RAJESH TIM GANDHI MD Individual | Internal Medicine (Infectious Disease) | 55 FRUIT ST FND 8 INFECTIOUS DISEASE ASSOCIATES BOSTON, MA 02114 (617) 726-8403 |
| 1821088451 | DR. SHIHAB AHMED MBBS Individual | Anesthesiology (Pain Medicine) | 55 FRUIT ST CLN 309 ANESTHESIA ASSOCIATES BOSTON, MA 02114 (617) 726-3030 |
| 1528058153 | DR. MARIE B DEMAY MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 55 FRUIT ST WEL 5 BOSTON, MA 02114 (617) 726-8720 |
| 1225028863 | DR. MICHELE TRUCKSIS MD PHD Individual | Internal Medicine | 55 FRUIT ST INFECTIOUS DISEASE ASSOCIATES GRJ 504 BOSTON, MA 02114 (617) 726-3812 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306264577, enumerated in the NPI registry as an "individual" on April 03, 2014
The provider is located at 55 Fruit St Boston, Ma 02114 and the phone number is (617) 726-7938
The provider's speciality is Internal Medicine with taxonomy code 207RR0500X with a focus in Rheumatology
The provider has more than 12 years of experience. He graduated from Georgetown University School Of Medicine in 2014.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Molina. 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.
Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from small joint using ultrasound guidance, Aspiration and/or injection of fluid large joint using ultrasound guidance, Complete ultrasound scan of joint, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Established patient office or other outpatient visit, 40-54 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Initial hospital inpatient care per day, typically 70 minutes, Injection, methylprednisolone acetate, 40 mg, Injection, methylprednisolone acetate, 80 mg, Limited ultrasound scan of joint or other extremity structure lacking blood vessels, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes and Telephone medical discussion with physician, 21-30 minutes.
The practitioner is affiliated to the following hospital(s): NORTH SHORE MEDICAL CENTER -, MASSACHUSETTS GENERAL HOSPITAL, NEWTON-WELLESLEY HOSPITAL, BRIGHAM AND WOMEN'S HOSPITAL and WENTWORTH-DOUGLASS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 03, 2014. 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].
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