Dr Kyle Shigeru Matsumura, MD - Medicare Interventional Pain Management in Cottonwood Heights, UT

Dr Kyle Shigeru Matsumura, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Cottonwood Heights, Utah. He went to University Of Utah School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Spine Care Center, Llc and his current practice location is 6750 S Highland Drive, Ste 100, Cottonwood Heights, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 685-7246.

Dr Kyle Shigeru Matsumura is licensed to practice in Utah (license number 951306801205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619907490.

Contact Information

Dr Kyle Shigeru Matsumura, MD
6750 S Highland Drive, Ste 100,
Cottonwood Heights, UT 84121
(801) 685-7246
(801) 747-5487



Physician's Profile

Full NameDr Kyle Shigeru Matsumura
GenderMale
SpecialityInterventional Pain Management
Experience31 Years
Location6750 S Highland Drive, Cottonwood Heights, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kyle Shigeru Matsumura attended and graduated from University Of Utah School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1619907490
  • Provider Enumeration Date: 07/04/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476450776
  • Enrollment ID: I20031215000973

Medical Identifiers

Medical identifiers for Dr Kyle Shigeru Matsumura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619907490NPI-NPPES
D5367MedicaidUT
G79891OtherUTCAL MEDICAL LICENSE #
951306801205OtherUTUTAH MEDICAL LICENSE #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 951306801205 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spine Care Center, Llc47896823523

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kyle Shigeru Matsumura allows following entities to bill medicare on his behalf.
Entity NameSpine Care Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992736557
PECOS PAC ID: 4789682352
Enrollment ID: O20061114000306

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyle Shigeru Matsumura is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kyle Shigeru Matsumura, MD
6750 S Highland Drive, Ste 100,
Cottonwood Heights, UT 84121

Ph: (801) 685-7246
Dr Kyle Shigeru Matsumura, MD
6750 S Highland Drive, Ste 100,
Cottonwood Heights, UT 84121

Ph: (801) 685-7246

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Pain Medicine Doctors in Cottonwood Heights, UT

Dr. Arun Rajagopal, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6750 S Highland Drive, Suite 100, Cottonwood Heights, UT 84121
Phone: 801-685-7246    

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