DR. MATTHEW PAUL WONNACOTT (MD) – Family Medicine Physician, NPI 1144214495
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
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Provider Addresses for DR. MATTHEW PAUL WONNACOTT (MD)
1111, Emerald Bay Road, Tamarack Subdivision, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States
SOUTH LAKE TAHOE, CA 961506207
Phone: (530) 543-5659
Fax: (530) 541-8723
Type: Mailing
2201, South Avenue, Tamarack Subdivision, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States
SOUTH LAKE TAHOE, CA 961507025
Phone: (530) 543-5623
Fax: (530) 541-5738
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $311.
Total Amount is formed as General ($311) + Research ($0) + Ownership ($0) = $311.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Exact Sciences Corporation ($98).
Total Amount
$311
General + Research + Ownership
Payments
15
Total payment records
General Amount
$311
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $98 |
| Dexcom, Inc. | $43 |
| GENZYME CORPORATION | $23 |
| bioMerieux Inc | $22 |
| Regeneron Healthcare Solutions, Inc. | $21 |
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: 2024-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170522002601 | I | Family Practice | CA | TBD |
| I20241210004874 | I | Family Practice | NV | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 71 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 66 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 75 | 46 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 44 | 43 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
Insurance plans in this area (ZIP 96150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | CA | |
| Occupational Therapist In Private Practice | CA | |
| Critical Care (Intensivists), Emergency Medicine | NV | |
| Family Practice | CA | |
| P S Y C H I A T R Y | CA | |
| Critical Care (Intensivists), Emergency Medicine, Emergency Medicine | CA | |
| O T O L A R Y N G O L O G Y | PA | |
| U R O L O G Y | CA | |
| Internal Medicine | CA | |
| Clinical Social Worker | MA |
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