Active NPI 1073762217 Individual Practitioner Male Practitioner

Dr. Matthew James Coates , MD

Surgery • Modesto, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Coates, MD is a certified Surgery practicing in Modesto, CA. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Coates delivers high-quality medical care to the local community at 1001 SYLVAN AVE STE A.

Dr. Coates maintains professional affiliations with Sonora Community Hospital, Central California Bariatric Surgery A Medical Corporation, Surgical Associates Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

1001 Sylvan Ave Ste A

Modesto, CA 953501699

Telephone 2092487168

Fax 2098469641

Associated Practice Facility / Clinic

🏢 Central California Bariatric Surgery A Medical Corporation Facility NPI 1124141163

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Modesto, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -6.3 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

36 Specialists

Practicing in Modesto, CA (3346 Statewide)

Telehealth Adoption Rate

19.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Coates (18 Years) 18 Yrs

Modesto Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	413	207	$307.38	$118.87
99213 Established patient office or other outpatient visit, typically 15 minutes	320	114	$212.42	$75.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	39	$460.80	$170.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$402.63	$168.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	15	$346.62	$116.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	16	$48.97	$14.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	119	$350.00	$116.97
99213 Established patient office or other outpatient visit, typically 15 minutes	107	75	$272.90	$76.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$344.00	$173.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$400.00	$169.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$250.00	$42.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	90	$275.00	$72.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	44	$350.00	$108.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$403.00	$199.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	59	$384.55	$203.61
99213 Established patient office or other outpatient visit, typically 15 minutes	55	39	$275.00	$74.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	48	$350.00	$113.24
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	14	$100.00	$21.33
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	12	12	$6000.00	$1112.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	53	$276.06	$70.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	45	$419.00	$208.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$347.79	$107.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	13	$215.00	$107.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$395.93	$148.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	448	183	$275.50	$76.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	415	278	$349.94	$111.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$400.57	$166.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	58	$420.03	$204.62
43644 Bypass operation of stomach using an endoscope	19	19	$6500.00	$1732.44
44850 Suture of abdominal cavity tissue	19	19	$2000.00	$376.86
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	16	16	$6000.00	$1107.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	591	347	$349.75	$104.94
99213 Established patient office or other outpatient visit, typically 15 minutes	578	204	$275.35	$70.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$400.40	$158.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	60	$419.00	$197.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	95	$274.97	$73.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	89	$350.00	$108.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$423.82	$205.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$400.00	$164.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	17	$149.00	$73.54

Medical Specialties & State Licenses

CMS Verified: 2025-05-07

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A105497

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Surgical Associates Inc

1700 Coffee Rd, Modesto, CA 953552803

Phone: 2094042261

Central California Bariatric Surgery A Medical Corporation

1552 Coffee Rd, Modesto, CA 953553122

Phone: 2092487168151

Surgical Associates Inc

1700 Coffee Rd, Modesto, CA 953552803

Sonora Community Hospital

900 Greenley Rd, Sonora, CA 953705287

Phone: 2095363730

Sutter Valley Medical Foundation

600 Coffee Rd, Modesto, CA 953554201

Phone: 2095241211

Secondary Practice Locations

644 E Harding Way Ste B

Stockton, CA 952046103

Phone: 2092487168

Practice Associates & Co-Workers

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

15 Associated Practitioners

Alyssa Martin , MSN, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1114541117

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Prudence Ticknor , RD

Dietitian, Registered

NPI 1174920821

Registered Dietitian

Marina Nguyen , NP

Nurse Practitioner - Family

NPI 1215645247

Nurse Practitioner

Monica Marple , PA-C

Physician Assistant

NPI 1265531297

Physician Assistant (Certified)

Neasha Mcmeo , FNP

Nurse Practitioner - Family

NPI 1306085436

Family Nurse Practitioner

Dr. Andrew Huber , MD

Surgery

NPI 1316388325

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location May 07, 2025

Registered at 1001 SYLVAN AVE STE A, MODESTO, CA 953501699 (Tel: 2092487168)

📍

Updated Business Mailing Address May 07, 2025

Registered at 1001 SYLVAN AVE STE A, MODESTO, CA 953501699 (Tel: 2092487168)

✅

NPI Profile Active May 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2017

Registered at 1552 COFFEE RD STE 200, MODESTO, CA 953553122 (Tel: (209) 248-7168)

📍

Updated Business Mailing Address May 31, 2017

Registered at 1552 COFFEE RD STE 200, MODESTO, CA 953553122 (Tel: (209) 248-7168)

👤

Provider Name / Credentials Updated May 31, 2017

Recorded as MATTHEW COATES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2017

Surgery (License #A105497 in CA)

✅

NPI Profile Active September 11, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 11, 2008

Registered at 500 W HOSPITAL RD, FRENCH CAMP, CA 952319693 (Tel: 2094686600)

📍

Updated Business Mailing Address September 11, 2008

Registered at PO BOX 1020, STOCKTON, CA 952013120 (Tel: 2094686600)

👤

Provider Name / Credentials Updated September 11, 2008

Recorded as MATTHEW COATES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2008

Surgery (License #A105497 in CA)

🟢

Initial NPI Registration & Enumeration September 11, 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: 1073762217

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 11, 2008

Last Update: May 07, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1001 Sylvan Ave Ste A

Modesto, CA 953501699

Phone: 2092487168

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.