MATTHEW HARTMAN – Physician Assistant, NPI 1164086948

MATTHEW HARTMAN is a healthcare provider. based in Danville, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA56898 (CA). The NPI Number for MATTHEW HARTMAN is 1164086948

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW HARTMAN
NPI
1164086948
Phone
(925) 915-0483
Address
215 KAITLYN LN
Enumeration Date
26 April 2019
Last Update Date
17 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167811000
Graduation Year
2019 (7 years ago)
PAC ID
8729315940
Group Practice PAC ID
5991178998
Professional Enrollment ID
I20190812001459
Address ID
CA956613037RO1XXXXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for MATTHEW HARTMAN

  • 215 KAITLYN LN

    DANVILLE, CA 945064717

    Phone: (925) 915-0483

    Mailing address matches the actual address.

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: 2019-08-12

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
I20190812001459IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making6161$0
99284Emergency department visit with moderate level of medical decision making5756$0
View full utilization report →

Insurance plans in this area (ZIP 94506)

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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: 5991178998View full group profile
NameSpecialtyState
Physician AssistantCA
Emergency MedicineCA
Internal MedicineCA
Physician AssistantCA
Emergency MedicineCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Emergency MedicineIL
H O S P I T A L I S TIL

Reviews

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Frequently asked questions

What NPI should I save for MATTHEW HARTMAN?
Save NPI 1164086948 if you need a stable reference for MATTHEW HARTMAN.
Is MATTHEW HARTMAN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MATTHEW HARTMAN work in?
You can think of MATTHEW HARTMAN as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MATTHEW HARTMAN?
We surface Danville, California for MATTHEW HARTMAN based on available NPPES addresses.
Is MATTHEW HARTMAN a real provider?
This page reflects official NPPES data for NPI 1164086948. Always confirm identity and privileges with the practice and licensing boards.

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