DR. KATHERINE MATLOCK (D.O.) – Family Medicine Physician, NPI 1013229590

DR. KATHERINE MATLOCK (D.O.) is a healthcare provider. based in Largo, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OS11447 (FL). The NPI Number for DR. KATHERINE MATLOCK (D.O.) is 1013229590

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHERINE MATLOCK (D.O.)
NPI
1013229590
Phone
(727) 596-9490
Address
12899 WALSINGHAM RD
Enumeration Date
13 July 2010
Last Update Date
18 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277255060
Graduation Year
2010 (16 years ago)
PAC ID
3173765245
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20130820000743
Address ID
FL337631726CL2461XRDXX301

Contacts

Secure Messaging
katherine.matlock@direct.mybaycare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. KATHERINE MATLOCK (D.O.)

  • 12899 WALSINGHAM RD

    LARGO, FL 337743537

    Phone: (727) 596-9490

    Fax: (813) 635-7943

    Type: Mailing

  • PO BOX 10744

    CLEARWATER, FL 337578744

    Phone: (727) 532-0002

    Fax: (727) 266-4943

    Type: Mailing

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: 2013-08-20

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
I20130820000743IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes491275$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit207207$0
G0008Administration of influenza virus vaccine5655$0
90662Influenza vaccine split virus, preservative free5352$0
99495Transitional care management services for problem of at least moderate complexity3125$0
View full utilization report →

Insurance plans in this area (ZIP 33774)

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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: 6406753623View full group profile
NameSpecialtyState
N E U R O L O G YTX
Family PracticeFL
-FL
Certified Registered Nurse Anesthetist (Crna)MI
Internal MedicineFL
Family PracticeFL
Certified Registered Nurse Anesthetist (Crna)FL
Nurse PractitionerFL
-FL
-FL

Reviews

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Frequently asked questions

What number should I use to identify DR. KATHERINE MATLOCK (D.O.) for billing?
Administrative and clinical systems typically use NPI 1013229590 for DR. KATHERINE MATLOCK (D.O.).
Is DR. KATHERINE MATLOCK (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. KATHERINE MATLOCK (D.O.) as active.
What does the directory say DR. KATHERINE MATLOCK (D.O.) does?
Insurance directories may phrase it differently, but here DR. KATHERINE MATLOCK (D.O.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KATHERINE MATLOCK (D.O.)?
DR. KATHERINE MATLOCK (D.O.) is associated with Largo, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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