2026 NPPES data Pediatrics Physician NPI 1972506509 M.D., MBA
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LUIS MATOS, M.D., MBA

Pediatrics Physician in FOREST, Virginia. 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
574
Medicare Part D claims · 69 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$196.81
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LUIS MATOS, M.D., MBA filed 574 Medicare Part D claims in 2023 as a Pediatrics Physician in FOREST, Virginia, prescribing 59% generic.

574
Part D claims, 2023
59%
generic prescribing
$196.81
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

LUIS MATOS, M.D., MBA's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

574 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

LUIS MATOS, M.D., MBA practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about LUIS MATOS, M.D., MBA?

Quality data not reported

NPI registry status

Active

Issued 05/27/2005

NPI 1972506509

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

574 25% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Virginia

How Pediatrics Physician compares to other specialties among Virginia providers

Virginia providers

Pediatrics Physician share within Virginia

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

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).

LUIS MATOS, M.D., MBA appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D., MBA credentials at 1019A VISTA PARK DR, FOREST, VA, 24551, with a listed phone of (434) 515-0419. NPI 1972506509 was issued on 05/27/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATOS 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 574 prescription claims written by this provider, covering 69 Medicare beneficiaries and totaling roughly $138K in drug spend, split 41% brand-name and 59% generic by claim count. 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

1019A VISTA PARK DR
FOREST, VA 24551

Provider Details

NPI 1972506509
Specialty Pediatrics Physician
Credentials M.D., MBA
Gender Male
NPI Issued 05/27/2005

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 LUIS MATOS, M.D., MBA. Source: openpaymentsdata.cms.gov.

Total received

$197

Largest payer

AstraZeneca Pharmaceuticals LP

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 · Above average

LUIS MATOS, M.D., MBA — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 574 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.

574
Total Claims
$138K
Total Drug Cost
69
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
830
Total Day Supply
21,053
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$116K
Generic Drug Cost
$22K
Antibiotic Claims
33

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
1.40
Gender Split
65% female / 35% male
Age Distribution
<65: 19, 65-74: 31, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What LUIS MATOS, M.D., MBA prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Sodium Chloride
0.9 % Sodium Chloride
73
Famotidine
52
Symbicort
Budesonide/Formoterol Fumarate
46
Levocetirizine Dihydrochloride
41
Potassium Chloride
33
Clemastine Fumarate
29
Montelukast Sodium
17
Flovent Hfa
Fluticasone Propionate
16
Ondansetron Hcl
Ondansetron Hcl/Pf
16
Spiriva Respimat
Tiotropium Bromide
14

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

Pediatrics Physician Overview

How LUIS MATOS, M.D., MBA fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

LUIS MATOS, M.D., MBA's 574 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Virginia

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

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LUIS MATOS, M.D., MBA's specialty?
LUIS MATOS, M.D., MBA specializes in Pediatrics Physician and practices in FOREST, Virginia. Credentials: M.D., MBA.
How much does LUIS MATOS, M.D., MBA prescribe under Medicare Part D?
In 2023, LUIS MATOS, M.D., MBA wrote 574 Medicare Part D claims totaling $138K in drug costs for 69 beneficiaries.
Where is LUIS MATOS, M.D., MBA located?
LUIS MATOS, M.D., MBA is located at 1019A VISTA PARK DR, FOREST, VA, 24551. Phone: (434) 515-0419.
What is LUIS MATOS, M.D., MBA's NPI number?
LUIS MATOS, M.D., MBA's National Provider Identifier (NPI) is 1972506509, issued on 05/27/2005.
Does LUIS MATOS, M.D., MBA prescribe more brand-name or generic drugs?
LUIS MATOS, M.D., MBA's prescribing is 41% brand-name and 59% generic drugs by claim count, with $116K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does LUIS MATOS, M.D., MBA prescribe most often?
Based on 2023 Medicare Part D data, LUIS MATOS, M.D., MBA's most frequently prescribed drugs include Sodium Chloride, Famotidine, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LUIS MATOS, M.D., MBA accept Medicare?
LUIS MATOS, M.D., MBA appears in CMS Medicare data with 574 Part D claims and 69 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LUIS MATOS, M.D., MBA's credentials?
LUIS MATOS, M.D., MBA's NPI is 1972506509 with credentials M.D., MBA. 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.
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