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Active NPI 1104093301 Individual Practitioner Male Practitioner

Dr. Tim Matatov , MD

Surgery - Plastic and Reconstructive Surgery • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Tim Matatov, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Phoenix, AZ. Practice services are available at 2801 E CAMELBACK RD STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2801 E Camelback Rd Ste 100

Phoenix, AZ 850164363

Telephone 4805764310
Fax 4805764311
Associated Practice Facility / Clinic
🏢 Joseph Zakhary Md Llc Facility NPI 1942700984

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
23 Specialists

Practicing in Phoenix, AZ (69 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $309.52 $159.26

Medical Specialties & State Licenses

CMS Verified: 2026-07-09
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License AZ 52217

A surgeon who specializes in plastic and reconstructive surgery.

Secondary Practice Locations

2700 W Frye Rd Ste 340

Chandler, AZ 852244950

Phone: 4805764300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Matthew Mino , MD

Plastic Surgery

NPI 1265766125

Doctor of Medicine (M.D.)

Brigid Benson , PA-C

Physician Assistant

NPI 1356282545

Physician Assistant (Certified)

NPI 1366685711

Doctor of Medicine (M.D.)

Monica Makris

Physician Assistant

NPI 1740955517
Dr. Arvind Gowda , MD

Plastic Surgery

NPI 1972965820

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2024

Surgery (License #52217 in AZ)

📍
Updated Practice Location December 19, 2023

Registered at 2801 E CAMELBACK RD STE 100, PHOENIX, AZ 850164363 (Tel: 4805764310)

📍
Updated Business Mailing Address December 19, 2023

Registered at 2801 E CAMELBACK RD STE 100, PHOENIX, AZ 850164363 (Tel: 4805764310)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2023

Plastic Surgery (License #52217 in AZ)

NPI Profile Active February 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2015

Registered at 1430 TULANE AVE RM 8207, DEPARTMENT OF PLASTIC SURGERY, NEW ORLEANS, LA 701122632 (Tel: 5049885500)

📍
Updated Business Mailing Address February 10, 2015

Registered at 1430 TULANE AVE RM 8207, DEPARTMENT OF PLASTIC SURGERY, NEW ORLEANS, LA 701122632 (Tel: 5049885500)

👤
Provider Name / Credentials Updated February 10, 2015

Recorded as TIM MATATOV, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2015

Plastic Surgery (License #204699 in LA)

🟢
Initial NPI Registration & Enumeration May 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104093301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2008
Last Update: July 09, 2026
Sole Proprietor: Yes

Mailing Address

2801 E Camelback Rd Ste 100

Phoenix, AZ 850164363

Phone: 4805764310

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.