CINDY M MATSUSHITA M.D.
NPI 1467540450
Family Medicine in Santa Fe, NM
NPI Status: Active since October 11, 2006
Contact Information
3450 ZAFARANO DR
SUITE C
SANTA FE, NM
ZIP 87507
Phone: (505) 466-5885
Fax: (505) 466-5886
- Individual
- Female
- Family Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About CINDY MATSUSHITA
This page provides the complete NPI Profile along with additional information for Cindy Matsushita, a primary care provider established in Santa Fe, New Mexico with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1467540450 assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number MD2009-0498 (NM). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1467540450
- Provider Name
- CINDY M MATSUSHITA M.D.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3450 ZAFARANO DR SUITE C SANTA FE, NM 87507
- Location Phone
- (505) 466-5885
- Location Fax
- (505) 466-5886
- Mailing Address
- 3450 ZAFARANO DR SUITE C SANTA FE, NM 87507
- Mailing Phone
- (505) 466-5885
- Mailing Fax
- (505) 466-5886
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-11-2006
- Last Update Date
- 07-07-2017
- Code Navigator
A primary care provider (PCP) like Cindy Matsushita sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD2009-0498
- License State
- NM
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 25703 (SC) |
Medicare Participation & PECOS Enrollment Status
Cindy Matsushita 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
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
Physician Visit Costs
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 87507 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.79
- Minimum New Patient Price $54.26
- Maximum New Patient Price $166.8
- Average New Patient Copayment $21.19
- Minimum New Patient Copayment $13.56
- Maximum New Patient Copayment $41.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.38
- Minimum Established Patient Price $17
- Maximum Established Patient Price $135.35
- Average Established Patient Copayment $24.09
- Minimum Established Patient Copayment $4.25
- Maximum Established Patient Copayment $33.83
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 36% | 388 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Diabetes: Eye Exam | 10% | 107 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Diabetes: Foot Exam | 56% | 107 |
| The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year | ||
| Diabetes: Medical Attention for Nephropathy | 66% | 107 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| Documentation of Current Medications in the Medical Record | 97% | 2712 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 87% | 3346 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Provide Patient Access | 47% | 1356 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Use of High-Risk Medications in the Elderly | 8% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 357 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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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 | 4 | 6 | 7 | 5 | 4 | 0 | 4 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 10 | 4 | 0 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 0 + 4 + 0 + 4 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1467540450 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1780992024 | TIM B GANNON P.A. Individual | Physician Assistant (Medical) | 3450 ZAFARANO DR SUITE C SANTA FE, NM 87507 (505) 466-5885 |
| 1619087582 | DR. ANDREW ROPP M.D. Individual | Family Medicine | 3450 ZAFARANO DR SUITE C SANTA FE, NM 87507 (505) 466-5885 |
| 1992104988 | ABBY RODRIGUEZ FNP-BC Individual | Nurse Practitioner (Family) | 3450 ZAFARANO DR SUITE C SANTA FE, NM 87507 (505) 466-5885 |
| 1922452960 | KAILEIGH CERA CNP Individual | Nurse Practitioner (Family) | 3450 ZAFARANO DR SUITE C SANTA FE, NM 87507 (505) 466-5885 |
| 1447238159 | ANDREW LANGSAM MD Individual | General Practice | 3450 ZAFARANO DR SUITE C SANTA FE, NM 87507 (505) 466-5885 |
| 1730228214 | CHARLES BERNARD MCCANNA M.D. Individual | Family Medicine | 3450 ZAFARANO DR STE C SANTA FE, NM 87507 (505) 466-5885 |
| 1740533967 | ASPEN MEDICAL GROUP LLC Organization | Clinic/Center (Urgent Care) | 3450 ZAFARANO DR STE A SANTA FE, NM 87507 (505) 246-6910 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467540450, enumerated in the NPI registry as an "individual" on October 11, 2006
The provider is located at 3450 Zafarano Dr Suite C Santa Fe, Nm 87507 and the phone number is (505) 466-5885
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
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 $84.79 with an average copayment of $21.19 for new patient appointments. Established patients should expect a typical charge of $96.38 and an average copayment of 24.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 11, 2006. 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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