Individual provider Active NPI

Matthew D. McCotter, MD

  • Anesthesiology Physician
  • Santa Barbara, CA
National Provider Identifier
1073691861
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A83429 Issued in CA
Practice address
514 W Pueblo St FL 2
Santa Barbara, CA 93105-6219
Phone
(805) 682-7751
Fax
(805) 563-2527
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A83429 CA Primary

Addresses

Primary practice location

514 W Pueblo St FL 2
Santa Barbara, CA 93105-6219

Mailing address

514 W Pueblo St FL 2
Santa Barbara, CA 93105-6219
Phone (805) 682-7751

Other identifiers 1

IdentifierTypeStateIssuer
00A834290MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060407000260 CA Practitioner - Anesthesiology 0648289363 Reassigns benefits to 3 organizations
I20210720002619 AZ Practitioner - Anesthesiology 0648289363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Harvard Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

2540 E St
Concord, CA 94520-1906
Phone (925) 682-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83429CAMDPharmacist
A83429CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Jul 1, 2021 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology CurrentSince Jul 25, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 25, 2025 Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Jan 21, 2026 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: mccotter.matthew@st.direct.azkrmc.md
  • Direct secure messaging: mccotter.matthew@direct.azkrmc.md

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1073691861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W PUEBLO ST FL 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056219",
            "telephone_number": "805-682-7751",
            "fax_number": "805-563-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W PUEBLO ST FL 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056219",
            "telephone_number": "805-682-7751",
            "fax_number": "805-563-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOTTER",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A83429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A834290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.