Matthew Macdougall, M.D.
NPI 1053638320 · Neurological Surgery Physician · San Francisco, CA
Enrolled with Medicare as Practitioner - Neurosurgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Macdougall, M.D. is a Neurological Surgery Physician provider in San Francisco, CA (NPI 1053638320).
Provider details
- NPI number
- 1053638320
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A115686 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
307 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 121 | $69 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 67 | $195 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 27 | $107 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 24 | $134 |
| Partial Removal of Spine Bone With Release of Spinal Cord And/Or Nerves, Each Additional Segment63048 | 23 | $221 |
| Insertion of Brain Neurostimulator Pulse Device With Connection to 2 Or More Electrode Arrays |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 31 | 21 |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 14 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$576 across 17 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 165 Rowland WayNovato, CA 94945-5038Phone: (415) 600-0528Fax: (415) 369-1207
- 213 Quarry Rd # Mc5958Palo Alto, CA 94304-1416Phone: (650) 723-6469
Registry dates
- Enumerated
- 2010-04-27
- Last updated
- 2020-05-06
- Certified
- 2020-05-06
Frequently asked questions
- What is Matthew Macdougall's NPI number?
- Matthew Macdougall's National Provider Identifier (NPI) is 1053638320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Macdougall's specialty?
- Matthew Macdougall is listed in the NPPES registry with a primary specialty of Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Macdougall located?
- Matthew Macdougall's practice location on file with NPPES is 1100 Van Ness Ave, San Francisco, CA 94109-6978.
- What is Matthew Macdougall's phone number?
- The practice phone number listed in the NPPES registry for Matthew Macdougall is (415) 600-0528.
- Does Matthew Macdougall accept Medicare?
- Matthew Macdougall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Macdougall's NPI active?
- Yes — Matthew Macdougall's NPI (1053638320) is active in the NPPES registry as of the last update on 2020-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.