2026 NPPES data Interventional Pain Medicine Physician NPI 1619907490 MD
Verify on CMS →

KYLE MATSUMURA, MD

Interventional Pain Medicine Physician in COTTONWOOD HEIGHTS, Utah. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 392 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$16.84
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KYLE MATSUMURA, MD is a Interventional Pain Medicine Physician ([object Object]) practicing in COTTONWOOD HEIGHTS, Utah with a Medicare Part D prescribing footprint of 2K claims across 392 beneficiaries — 2% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $16.84 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KYLE MATSUMURA, MD reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 2,013 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KYLE MATSUMURA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KYLE MATSUMURA, MD at a glance

Below national average

NPI registry status

Active

Issued 07/04/2006

NPI 1619907490

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

2,013 8% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Utah

How Interventional Pain Medicine Physician compares to other specialties among Utah providers

Utah providers

Interventional Pain Medicine Physician share within Utah

1. Interventional Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Pain Medicine Physician share within Utah

Medicare quality performance — MIPS

KYLE MATSUMURA, MD's 2023 MIPS final score plotted against the Interventional Pain Medicine Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Pain Medicine Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Interventional Pain Medicine Physician) — 0/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KYLE MATSUMURA, MD is a Interventional Pain Medicine Physician provider practicing in COTTONWOOD HEIGHTS, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1619907490. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KYLE MATSUMURA, MD appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding MD credentials at 6750 S HIGHLAND DRIVE, COTTONWOOD HEIGHTS, UT, 84121, with a listed phone of (801) 685-7246. NPI 1619907490 was issued on 07/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATSUMURA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,013 prescription claims written by this provider, covering 392 Medicare beneficiaries and totaling roughly $62K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 46.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

6750 S HIGHLAND DRIVE
COTTONWOOD HEIGHTS, UT 84121

Provider Details

NPI 1619907490
Specialty Interventional Pain Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/04/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KYLE MATSUMURA, MD. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Collegium Pharmaceutical, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

KYLE MATSUMURA, MD — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 2,013 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,013
Total Claims
$62K
Total Drug Cost
392
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,172
Total Day Supply
54,912
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$12K
Generic Drug Cost
$50K
Opioid Claims
929 (46.2% rate)

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.60
Gender Split
60% female / 40% male
Age Distribution
<65: 54, 65-74: 184, 75-84: 124, 85+: 30

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Oxycodone Hcl
195
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
182
Tramadol Hcl
160
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
157
Prednisone
120
Methylprednisolone
84
Carisoprodol
62
Hydromorphone Hcl
62
Baclofen
59
Gabapentin
57

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Interventional Pain Medicine Physician Overview

How KYLE MATSUMURA, MD fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

KYLE MATSUMURA, MD's 2,013 claims are below the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in Utah

Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as MATSUMURA.

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KYLE MATSUMURA, MD's specialty?
KYLE MATSUMURA, MD specializes in Interventional Pain Medicine Physician and practices in COTTONWOOD HEIGHTS, Utah. Credentials: MD.
How much does KYLE MATSUMURA, MD prescribe under Medicare Part D?
In 2023, KYLE MATSUMURA, MD wrote 2,013 Medicare Part D claims totaling $62K in drug costs for 392 beneficiaries.
What is KYLE MATSUMURA, MD's Medicare quality score?
KYLE MATSUMURA, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KYLE MATSUMURA, MD located?
KYLE MATSUMURA, MD is located at 6750 S HIGHLAND DRIVE, COTTONWOOD HEIGHTS, UT, 84121. Phone: (801) 685-7246.
What is KYLE MATSUMURA, MD's NPI number?
KYLE MATSUMURA, MD's National Provider Identifier (NPI) is 1619907490, issued on 07/04/2006.
Does KYLE MATSUMURA, MD prescribe more brand-name or generic drugs?
KYLE MATSUMURA, MD's prescribing is 2% brand-name and 98% generic drugs by claim count, with $12K in brand drug costs.
Does KYLE MATSUMURA, MD prescribe opioids?
Yes, KYLE MATSUMURA, MD had 929 opioid claims in 2023 with an opioid prescribing rate of 46.2%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does KYLE MATSUMURA, MD prescribe most often?
Based on 2023 Medicare Part D data, KYLE MATSUMURA, MD's most frequently prescribed drugs include Oxycodone Hcl, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KYLE MATSUMURA, MD accept Medicare?
KYLE MATSUMURA, MD appears in CMS Medicare data with 2,013 Part D claims and 392 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KYLE MATSUMURA, MD's credentials?
KYLE MATSUMURA, MD's NPI is 1619907490 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology