Active NPI
David Matson, MD
- Orthopaedic Hand Surgery Physician
- Blaine, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 74019
- Practice address
- 10230 Baltimore St NE Ste 300
Blaine, MN 55449-4674 - Phone
- (651) 968-5201
- Fax
- (651) 968-5903
- NPI assigned
- Apr 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 74019 | MN | Primary |
Addresses
Primary practice location
10230 Baltimore St NE Ste 300
Blaine, MN 55449-4674
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Minnesota Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
146 N Lake St
Forest Lake, MN 55025-2518
Phone (651) 968-5201
1661 Saint Anthony Ave
Saint Paul, MN 55104-3733
Phone (651) 968-5201
2090 Woodwinds Dr
Saint Paul, MN 55125-2522
Phone (651) 968-5201
3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 968-5201
6050 Sycamore LN N
Plymouth, MN 55442-1402
Phone (651) 968-5201
Hospital & facility affiliations
- M Health Fairview Woodwinds Hospital
- Fairview Lakes Health Services
- M Health Fairview University of MN Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74019 | MN | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics, LTD | Current | Accepting new patients | |
| Summit Orthopedics LTD | Hand Surgery | Current | Accepting new patients |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
10230 Baltimore St NE
#300
Blaine, MN 55449
Phone (651) 968-5300
146 Lake St N
Forest Lake, MN 55025
Phone (651) 464-5235
2450 Riverside Ave
#S
Minneapolis, MN 55454
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
6050 Sycamore Ln N
Plymouth, MN 55442
Phone (651) 968-5462
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 968-5142
3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600
2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
Interoperability endpoints
- davidmatson@sol.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Woodbury, MN
- NPI 1306899463
-
- Clinic/Center
- Woodbury, MN
- NPI 1558870196
-
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1982137741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 COMMERCE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10230 BALTIMORE ST NE STE 300",
"city": "BLAINE",
"state": "MN",
"postal_code": "554494674",
"telephone_number": "651-968-5201",
"fax_number": "651-968-5903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSON",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-09",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MN",
"license": "74019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.