Tim Matatov, M.D.
NPI 1104093301ActiveIndividual· Surgery, Plastic and Reconstructive Surgery· Phoenix, AZ
Opted out of Medicare from March 2022 to March 2028. Surgery, Plastic and Reconstructive Surgery (M.D.) in Phoenix, Arizona, licensed in AZ, with an NPI issued in May 2008. Davol Inc. was the largest of 3 companies reporting payments in 2025, $293.96 in all, mostly food and beverage.
Overview
| NPI | 1104093301 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 15, 2008 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | 52217 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Mar 15, 2022 – Mar 15, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Industry payments (Open Payments)
- 2025$293.96 · 3 payments from 3 companies
- 2024$327.36 · 7 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $174.56 | 1 |
| Baxter Healthcare | $82.67 | 1 |
| Mentor Worldwide LLC | $36.73 | 1 |
What the 2025 payments were for
- Food and Beverage$293.96 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 Surgery, Plastic and Reconstructive Surgery providers in Phoenix · All Surgery, Plastic and Reconstructive Surgery providers in Arizona