NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1871641860 MD
Verify on CMS → Matthew Sitzer, MD
Gastroenterology Physician in San Diego, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,601 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
887
Medicare Part D claims · 414 beneficiaries · Gastroenterology Physician avg: 833
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Matthew Sitzer, MD filed 887 Medicare Part D claims in 2023 as a Gastroenterology Physician in San Diego, California.
- 887
- Part D claims, 2023
- Likely
- board-certified (heuristic)
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.
Matthew Sitzer, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
887 Top 27% higher than 73% of 1,370,886 prescribers
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 certification likely (heuristic, not verified)
Matthew Sitzer, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Matthew Sitzer, MD?
Quality data not reportedPrimary specialty
Gastroenterology Physician
Medicare Part D claims
887 6% vs specialty avg
Specialty distribution in California
How Gastroenterology Physician compares to other specialties among California providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gastroenterology Physician. Verify directly:
How MIPS and board certification work
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).
Matthew Sitzer, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 4647 ZION AVE, San Diego, CA, 92120, with a listed phone of (619) 528-5000. NPI 1871641860 was issued on 01/08/2007.
Medicare Part D records for calendar year 2023 show 887 prescription claims written by this provider, covering 414 Medicare beneficiaries and totaling roughly $145K in drug spend.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,601 enrolled providers across 54 states and an average of 833 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
Provider Details
| NPI | 1871641860 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/08/2007 |
Hospital and facility affiliations
Facilities where Matthew Sitzer, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Southern California Permanente Medical Group
San Marcos, CA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Matthew Sitzer, MD. To verify Matthew Sitzer, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
887
Total Claims
$145K
Total Drug Cost
414
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,960
- Total Day Supply
- 51,370
- Generic Drug Cost
- $37K
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 1.09
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 15, 65-74: 237, 75-84: 132, 85+: 30
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Matthew Sitzer, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
188 claims
- Pantoprazole Sodium
Pantoprazole Sodium
117 claims
- Budesonide Dr 58
Budesonide Dr
58 claims
- Lialda 40
Lialda
40 claims
- Cholestyramine 32
Cholestyramine
32 claims
- Famotidine 31
Famotidine
31 claims
- Balsalazide Disodium 27
Balsalazide Disodium
27 claims
- Mesalamine 24
Mesalamine
24 claims
| Drug | Claims |
|---|---|
| Omeprazole | 188 |
| Pantoprazole Sodium | 117 |
| Budesonide Dr Budesonide | 58 |
| Lialda Mesalamine | 40 |
| Cholestyramine Cholestyramine (With Sugar) | 32 |
| Famotidine | 31 |
| Balsalazide Disodium | 27 |
| Mesalamine | 24 |
| Azathioprine | 17 |
| Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Matthew Sitzer, MD fits within the Gastroenterology Physician landscape nationally.
16,601
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Matthew Sitzer, MD's 887 claims are above the specialty average of 833.
Nearby Gastroenterology Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Sitzer.
Dr. David Aarons
MD
Lodi, CA
Dr. Constante Abaya
MD
Oxnard, CA
Dr. Homan Abdollahzadeh
MD
Palm Springs, CA
Dr. John Abdulian
M.D.
Fresno, CA
Dr. Hussein Abidali
DO
Rancho Cucamonga, CA
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Matthew Sitzer, MD's specialty? ▼
Matthew Sitzer, MD specializes in Gastroenterology Physician and practices in San Diego, California. Credentials: MD.
How much does Matthew Sitzer, MD prescribe under Medicare Part D? ▼
In 2023, Matthew Sitzer, MD wrote 887 Medicare Part D claims totaling $145K in drug costs for 414 beneficiaries.
Where is Matthew Sitzer, MD located? ▼
Matthew Sitzer, MD is located at 4647 ZION AVE, San Diego, CA, 92120. Phone: (619) 528-5000.
What is Matthew Sitzer, MD's NPI number? ▼
Matthew Sitzer, MD's National Provider Identifier (NPI) is 1871641860, issued on 01/08/2007.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,601 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Matthew Sitzer, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Matthew Sitzer, MD's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Budesonide Dr. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Matthew Sitzer, MD accept Medicare? ▼
Matthew Sitzer, MD appears in CMS Medicare data with 887 Part D claims and 414 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Matthew Sitzer, MD's credentials? ▼
Matthew Sitzer, MD's NPI is 1871641860 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.