PETER V. MATHEWS (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1023197159
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
123 ORTHOPEDIC SURGERY in HI
Provider Addresses for PETER V. MATHEWS (MD)
1010 PENSACOLA ST
HONOLULU, HI 968142118
Phone: (808) 432-2000
Type: Location
Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States
OAKLAND, CA 946123429
Phone: (510) 625-6262
Type: Mailing
Kaiser Permanente Roseville Medical Center, 1600, Eureka Road, Roseville, Placer County, California, 95661, United States
ROSEVILLE, CA 956613027
Phone: (916) 784-4000
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: 2021-08-04
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 |
|---|---|---|---|---|
| I20110221000602 | I | Orthopedic Surgery | CA | TBD |
| I20210804002646 | I | Orthopedic Surgery | HI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| O P T O M E T R Y | HI | |
| - | HI | |
| Physician Assistant | HI | |
| Emergency Medicine | VA | |
| Orthopedic Surgery | HI | |
| Internal Medicine | HI | |
| - | HI | |
| - | CO | |
| - | HI |
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