DR. MATTHEW L. FINERMAN M.D.
NPI 1528163730
Otolaryngology in Los Angeles, CA
Quality Rating: 75 out of 100 score
NPI Status: Active since September 13, 2006
Contact Information
2080 CENTURY PARK E
SUITE 1700
LOS ANGELES, CA
ZIP 90067
Phone: (310) 201-0717
Fax: (310) 201-9665
- Individual
- Male
- Years of Experience 50
- Otolaryngology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MATTHEW FINERMAN
This page provides the complete NPI Profile along with additional information for Matthew Finerman, a provider established in Los Angeles, California with a medical specialization in Otolaryngology and more than 50 years of experience. He graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1976. The healthcare provider is registered in the NPI registry with number 1528163730 assigned on September 2006. The practitioner's primary taxonomy code is 207Y00000X with license number G35130 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1528163730
- Provider Name
- DR. MATTHEW L. FINERMAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2080 CENTURY PARK E SUITE 1700 LOS ANGELES, CA 90067
- Location Phone
- (310) 201-0717
- Location Fax
- (310) 201-9665
- Mailing Address
- 2080 CENTURY PARK E SUITE 1700 LOS ANGELES, CA 90067
- Mailing Phone
- (310) 201-0717
- Mailing Fax
- (310) 201-9665
- Medical School Name
- LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
- Graduation Year
- 1976
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-13-2006
- Last Update Date
- 03-12-2012
- Code Navigator
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
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G35130
- License State
- CA
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
A46224 | MEDICARE UPIN (02) | CA | |
WG35130D | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | MEDICARE NUMBER |
Medicare Participation & PECOS Enrollment Status
Matthew Finerman 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.
Matthew Finerman 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: 8426225772
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: I20120127000158
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.
Comprehensive hearing and speech recognition test
Diagnostic exam of voice box using an endoscope with mirror
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
Removal of impacted ear wax
Test for abnormal eye movement using 3 positions with recording
Test for abnormal eye movement with recording
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
This service was performed 175 times for 161 patientsThis procedure involves using a special tool called an endoscope, fitted with a mirror, to examine your voice box. It helps identify any abnormalities or issues that may affect your voice or breathing. It's a safe, straightforward process.
This service was performed 52 times for 48 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 118 times for 88 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 826 times for 380 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 54 times for 50 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 95 times for 95 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 93 times for 93 patientsThis procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
This service was performed 22 times for 22 patientsImpacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
This service was performed 370 times for 203 patientsThis test checks for unusual eye movements. You'll be asked to look in three different directions while a device records your eye movements. It helps identify any eye muscle or nerve issues. It's non-invasive and painless.
This service was performed 27 times for 20 patientsThis procedure checks for unusual eye movement. It involves recording your eye movements while you follow a light or object with your eyes. This helps identify any issues with how your eyes move or focus, aiding in the diagnosis of certain conditions.
This service was performed 27 times for 20 patientsThis therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
This service was performed 27 times for 20 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $35.59 for a new patient copayment and $19.49 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 90067 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $142.39
- Minimum New Patient Price $62.96
- Maximum New Patient Price $187.6
- Average New Patient Copayment $35.59
- Minimum New Patient Copayment $15.74
- Maximum New Patient Copayment $46.9
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $77.96
- Minimum Established Patient Price $20.84
- Maximum Established Patient Price $153.61
- Average Established Patient Copayment $19.49
- Minimum Established Patient Copayment $5.21
- Maximum Established Patient Copayment $38.4
* 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.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 75 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
Quality Measure | Performance | Number of Patients |
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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 | 5 | 2 | 8 | 1 | 6 | 3 | 7 | 3 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 2 | 6 | 6 | 7 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 4 + 8 + 2 + 6 + 6 + 7 + 6 + 24 = 70 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1528163730 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 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1144226184 | MAURICE ELIHU MD Individual | Internal Medicine (Gastroenterology) | 2080 CENTURY PARK E SUITE 1804 LOS ANGELES, CA 90067 (310) 551-9900 |
1205821253 | BEVERLY HILLS TOWER INC Organization | Pharmacist | 2080 CENTURY PARK E CENTURY CITY MEDICAL PLAZA PHARMACY LOS ANGELES, CA 90067 (310) 553-3434 |
1023071552 | MRS. LYDIA NARY SAR RN Individual | Registered Nurse (Oncology) | 2080 CENTURY PARK E STE 1005 LAS ANGELES, CA 90067 (310) 229-3555 |
1578526000 | MRS. LOURDES TOLDSA RN Individual | Registered Nurse (Critical Care Medicine) | 2080 CENTURY PARK E STE 1005 LOS ANGELES, CA 90067 (310) 229-3555 |
1396702320 | DR. STEVEN S GALEN M.D. Individual | Internal Medicine | 2080 CENTURY PARK E SUITE 1605 LOS ANGELES, CA 90067 (310) 277-1222 |
1376501452 | DR. JOHN BENJAMIN BARRETT D.A. Individual | Acupuncturist | 2080 CENTURY PARK E SUITE 1110 LOS ANGELES, CA 90067 (310) 277-7179 |
1245289412 | DR. ELIE M GINDI MD Individual | Internal Medicine | 2080 CENTURY PARK E SUITE 1605 LOS ANGELES, CA 90067 (310) 553-5535 |
1265489546 | KAMRAN JAMSHIDINIA DPM, FACFAS Individual | Podiatrist (Foot & Ankle Surgery) | 2080 CENTURY PARK E SUITE 1208 LOS ANGELES, CA 90067 (310) 247-9255 |
1508804501 | SLEEPMED THERAPIES INC Organization | Durable Medical Equipment & Medical Supplies | 2080 CENTURY PARK E SUITE 1212 LOS ANGELES, CA 90067 (310) 843-9955 |
1629017942 | SLEEPMED OF CALIFORNIA INC Organization | Clinic/Center (Sleep Disorder Diagnostic) | 2080 CENTURY PARK E SUITE 1210 LOS ANGELES, CA 90067 (310) 843-9955 |
1346284734 | DR. HOWARD MARTIN MOSS M.D. Individual | Internal Medicine | 2080 CENTURY PARK E SUITE 1703 LOS ANGELES, CA 90067 (310) 553-2080 |
1982630943 | DR. ROBERT JEFFREY JOHNSON D.C. Individual | Chiropractor | 2080 CENTURY PARK E SUITE 1511 LOS ANGELES, CA 90067 (310) 979-7176 |
1497781603 | MS. MARINA G BARSUMIAN CRNA Individual | Nurse Anesthetist, Certified Registered | 2080 CENTURY PARK E LOS ANGELES, CA 90067 (909) 946-5752 |
1033144522 | DR. ROYA GOLSHANI M.D. Individual | Internal Medicine | 2080 CENTURY PARK E SUITE 1804 LOS ANGELES, CA 90067 (310) 553-5588 |
1093733479 | DR. KEVIN H TSENG D.P.M. Individual | Podiatrist (Foot & Ankle Surgery) | 2080 CENTURY PARK E SUITE #605 LOS ANGELES, CA 90067 (310) 553-7371 |
1174541726 | DR. MARK R WEISS D.P.M. Individual | Podiatrist | 2080 CENTURY PARK E SUITE #605 LOS ANGELES, CA 90067 (310) 553-7371 |
1740208362 | RAHBAR MEDICAL GROUP, INC., A MEDICAL CORPORATION Organization | Internal Medicine (Gastroenterology) | 2080 CENTURY PARK E SUITE 1804 LOS ANGELES, CA 90067 (310) 553-4400 |
1730109208 | HOWARD MOLITZ, M.D., INC. Organization | Anesthesiology | 2080 CENTURY PARK E LOS ANGELES, CA 90067 (310) 277-1846 |
1780606061 | DR. FARSHID SAM RAHBAR M.D., FACP Individual | Internal Medicine (Gastroenterology) | 2080 CENTURY PARK E SUITE1804 LOS ANGELES, CA 90067 (310) 553-4400 |
1043226053 | STEVEN KALLMAN DDS Individual | Dentist (Endodontics) | 2080 CENTURY PARK E 1710 LOS ANGELES, CA 90067 (310) 553-3232 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528163730, enumerated in the NPI registry as an "individual" on September 13, 2006
The provider is located at 2080 Century Park E Suite 1700 Los Angeles, Ca 90067 and the phone number is (310) 201-0717
The provider's speciality is Otolaryngology with taxonomy code 207Y00000X
The provider has more than 50 years of experience. He graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1976.
The provider might be accepting Accepts: Medicare and Medicaid. 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 $142.39 with an average copayment of $35.59 for new patient appointments. Established patients should expect a typical charge of $77.96 and an average copayment of 19.49. 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: Comprehensive hearing and speech recognition test, Diagnostic exam of voice box using an endoscope with mirror, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing, Removal of impacted ear wax, Test for abnormal eye movement using 3 positions with recording, Test for abnormal eye movement with recording and Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes.
This NPI record was last updated on September 13, 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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