DR. MATTHEW D CALLISTER (M.D.) – Radiation Oncology Physician, NPI 1124000948

DR. MATTHEW D CALLISTER (M.D.) is a healthcare provider. based in Gilbert, Arizona. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 32639 (AZ). The NPI Number for DR. MATTHEW D CALLISTER (M.D.) is 1124000948

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW D CALLISTER (M.D.)
NPI
1124000948
Phone
(480) 256-6444
Address
2940 E BANNER GATEWAY DR
Enumeration Date
17 November 2005
Last Update Date
3 November 2011

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4802566444
Graduation Year
1997 (29 years ago)
PAC ID
8022007004
Group Practice PAC ID
6103097779
Professional Enrollment ID
I20040506001358
Address ID
AZ852342165GI2946XDRXX519
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

156 RADIATION ONCOLOGY in AZ

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Provider Addresses for DR. MATTHEW D CALLISTER (M.D.)

  • 2940, East Banner Gateway Drive, Higley Marketplace, Gilbert, Maricopa County, Arizona, 85234, United States

    SUITE 450

    GILBERT, AZ 852342168

    Phone: (480) 256-6444

    Type: Mailing

  • East Banner Gateway Drive, Gilbert, Maricopa County, Arizona, 85206, United States

    SUITE 450

    GILBERT, AZ 852342168

    Phone: (480) 256-6444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040506001358IRadiation OncologyAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85234)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103097779View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineNC
Physician AssistantAZ
-AZ
Cardiovascular Disease (Cardiology)AZ
Physician AssistantNC
Physician AssistantFL
Physician AssistantAZ
Physician AssistantAZ
Physician AssistantAZ
Physician AssistantAZ

Reviews

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Frequently asked questions

What NPI should I save for DR. MATTHEW D CALLISTER (M.D.)?
Save NPI 1124000948 if you need a stable reference for DR. MATTHEW D CALLISTER (M.D.).
Is DR. MATTHEW D CALLISTER (M.D.)'s NPI currently valid?
The extract we use shows DR. MATTHEW D CALLISTER (M.D.) as active.
What does DR. MATTHEW D CALLISTER (M.D.) treat or focus on?
Patients typically see DR. MATTHEW D CALLISTER (M.D.) under the specialty Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Does DR. MATTHEW D CALLISTER (M.D.) practice in Arizona?
You will see Gilbert, Arizona on file for DR. MATTHEW D CALLISTER (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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