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Eric Seiji Matsumoto, MD

Family Practice · Los Altos

NPI 1508217274

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Offices
2

Offices

2 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: 757662. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Matsumoto’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence A151644 · Current

Licensed to practise in California · since 2017 · expires 2027-05-31 · Loma Linda University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$36,250

Medicare paid this office $36,250 for 137 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)75$10,755$100
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit49$7,701$157
Short return visit (20+ min)75$6,104$64
Long return visit (40+ min)20$3,697$142

Who their Medicare patients are

137 Original Medicare patients in 2024. Average age 75 · Women 56% · Also on Medicaid 8% · Health risk score 0.82. At or below the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 49% · Diabetes 20% · Chronic kidney disease 15% · Depression 15% · Coronary heart disease 13% · Atrial fibrillation 10% · Heart failure 8% · Cancer 8%.

The office billed $104,436, Medicare allowed $49,371 and paid $36,250; for 348 services of 31 kinds; $3,158 of it was for drugs given in the office and $33,092 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024137348750.82$104,436$36,250
2023145340760.88$97,511$37,571
2022156350750.78$91,557$37,379
2021121330761.03$78,011$31,702
2020107245741.03$48,839$20,956
20193042760.66$9,635$3,476

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Return visit (30+ min)74$10,778$105
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit53$8,456$160
Short return visit (20+ min)63$4,894$66
Long return visit (40+ min)23$4,231$163
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage11$828$75
Administration of influenza virus vaccine11$416$38

2022: 7 services

Original Medicare services billed in 2022
Return visit (30+ min)82$13,351$118
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit38$6,002$158
Long return visit (40+ min)22$4,921$170
Short return visit (20+ min)59$4,263$62
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage15$1,054$70
Administration of influenza virus vaccine17$643$38
Administration of pneumococcal vaccine11$375$34

2021: 7 services

Original Medicare services billed in 2021
Return visit (30+ min)56$7,755$101
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit38$5,472$144
Short return visit (20+ min)52$4,727$65
Long return visit (40+ min)17$3,753$156
Telephone medical discussion with physician, 21-30 minutes11$1,765$88
Influenza vaccine split virus, preservative free20$1,305$65
Administration of influenza virus vaccine20$432$22

2020: 8 services

Original Medicare services billed in 2020
Return visit (30+ min)26$4,354$89
Short return visit (20+ min)45$3,773$73
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$2,789$139
Telephone medical discussion with physician, 11-20 minutes15$1,191$70
Telephone medical discussion with physician, 21-30 minutes12$1,181$98
Influenza vaccine split virus, preservative free12$732$61
Administration of influenza virus vaccine15$314$21
Administration of pneumococcal vaccine15$312$21

2019: 1 service

Original Medicare services billed in 2019
Short return visit (20+ min)22$1,603$70

Drugs they prescribed that Part D paid

$56,382

Pharmacies billed $56,382 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 1% of their Part D prescriptions (15 of 1,040) in 2024. At or below the middle of the specialty; the typical family practice clinician is at 2%.

926 generic and fewer than 11 brand-name prescriptions · $56,382 in drug cost · 15 antibiotic prescriptions · 14 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Myrbetriq11$5,375$489
Atorvastatin126$1,218$10
Celecoxib20$834$42
Mirtazapine20$671$34
Rosuvastatin35$545$16
See all 25 drugs
Every Part D drug this clinician prescribed
Myrbetriq11$5,375$489
Atorvastatin126$1,218$10
Celecoxib20$834$42
Mirtazapine20$671$34
Rosuvastatin35$545$16
Bupropion Xl19$530$28
Fludrocortisone Acetate12$485$40
Gabapentin50$485$10
Levothyroxine43$467$11
Amlodipine Besylate51$429$8
Trazodone17$379$22
Omeprazole20$325$16
Metoprolol26$324$12
Nortriptyline13$293$23
Losartan32$292$9
Oxybutynin Chloride13$279$21
Albuterol Sulfate Hfa18$275$15
Sertraline23$261$11
Lisinopril28$186$7
Hydrochlorothiazide25$151$6
Tamsulosin18$131$7
Metformin Hcl Er12$124$10
Simvastatin16$123$8
Furosemide17$104$6
Metformin12$38$3

Year by year

Part D prescribing by year
20241,0401371% (15)None$56,382
2023918128None11%$56,227
2022645108None7%$34,012
2021557820% (0)11%$40,472
2020384640% (0)10%$14,233
2019206520% (0)15%$12,923
2018324700% (0)None$17,944
201732110% (0)None$1,416

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 29 drugs

Part D drugs prescribed in 2023
Eliquis12$19,771$1,648
Atorvastatin98$1,747$18
Mirtazapine24$1,093$46
Desvenlafaxine Succinate Er12$1,030$86
Bupropion Xl14$748$53
Levothyroxine45$622$14
Gabapentin35$602$17
Albuterol Sulfate Hfa18$529$29
Losartan29$511$18
Metoprolol30$488$16
Metformin16$405$25
Celecoxib19$376$20
Sertraline25$371$15
Glipizide Er14$361$26
Rosuvastatin20$353$18
Amlodipine Besylate41$336$8
Tamsulosin12$315$26
Quetiapine11$265$24
Trazodone14$256$18
Fluticasone Propionate13$211$16
Simvastatin13$206$16
Pantoprazole11$173$16
Alendronate17$156$9
Naproxen12$126$10
Paxlovid (Eua)11$119$11
Hydrochlorothiazide19$111$6
Furosemide15$78$5
Zolpidem13$68$5
Lisinopril14$64$5

2022: 18 drugs

Part D drugs prescribed in 2022
Atorvastatin77$1,147$15
Mirtazapine18$755$42
Albuterol Sulfate Hfa13$591$45
Sertraline30$481$16
Fludrocortisone Acetate12$470$39
Donepezil13$387$30
Amlodipine Besylate29$351$12
Levothyroxine17$324$19
Metoprolol14$318$23
Simvastatin17$280$16
Quetiapine15$238$16
Losartan20$228$11
Metformin14$206$15
Gabapentin13$198$15
Alendronate20$197$10
Paxlovid (Eua)18$184$10
Lisinopril16$128$8
Hydrochlorothiazide18$127$7

2021: 11 drugs

Part D drugs prescribed in 2021
Spiriva Respimat12$7,051$588
Atorvastatin72$1,034$14
Amlodipine Besylate35$381$11
Losartan20$366$18
Simvastatin20$355$18
Lisinopril33$317$10
Hydrochlorothiazide20$238$12
Alendronate17$231$14
Donepezil18$229$13
Sertraline22$174$8
Lorazepam12$30$3

2020: 10 drugs

Part D drugs prescribed in 2020
Atorvastatin33$576$17
Amlodipine Besylate37$376$10
Lisinopril28$355$13
Metoprolol13$231$18
Losartan14$215$15
Levothyroxine16$188$12
Hydrochlorothiazide21$168$8
Escitalopram13$141$11
Donepezil11$82$7
Lorazepam13$39$3

2019: 3 drugs

Part D drugs prescribed in 2019
Atorvastatin18$284$16
Metformin14$159$11
Lisinopril13$141$11

2018: 6 drugs

Part D drugs prescribed in 2018
Atorvastatin28$301$11
Levothyroxine12$165$14
Lisinopril30$139$5
Metformin12$114$9
Amlodipine Besylate14$93$7
Furosemide14$64$5

Professional record

NPI
1508217274
Licence
CA A151644California A151644: Current · expires 2027-05-31
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2016-06-23
NPI last updated
2020-06-03
NPI record certified
2020-06-03

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 455 Oconnor Dr, San Jose, CA, 95128