RICHARD N MATTIS (MD) – Emergency Medicine Physician, NPI 1821040247
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
969 FAMILY PRACTICE in ID
Provider Addresses for RICHARD N MATTIS (MD)
315 W Dalton Ave Ste A
Coeur D Alene, ID 838158600
Phone: (208) 209-2060
Fax: (208) 209-2070
Type: Location
750 N Syringa St Ste 100
Post Falls, ID 838545275
Phone: (208) 262-2600
Fax: (208) 262-2700
Type: Location
421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States
LIBERTY LAKE, WA 990190421
Phone: (866) 747-2455
Fax: (509) 227-7070
Type: Mailing
16528, East Desmet Court, Veradale, Spokane Valley, Spokane County, Washington, 99016, United States
SPOKANE VALLEY, WA 992163522
Phone: (509) 944-8910
Fax: (509) 227-7070
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: 2023-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20050413000155 | I | Family Practice | WA | TBD |
| I20050629000291 | I | Family Practice | ID | TBD |
| I20161205001001 | I | Family Practice | MT | TBD |
| I20221017001330 | I | Addiction Medicine | OR | TBD |
| I20230303000811 | I | Family Practice | MD | TBD |
| I20231130003886 | I | Family Practice | DC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 192 | 163 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 62 | $0 |
| Q3014 | Telehealth originating site facility fee | 31 | 27 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 83815)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | MD | |
| - | CA | |
| - | WA | |
| - | MN | |
| Nurse Practitioner | MD | |
| Physician Assistant | WA | |
| - | MN | |
| - | AK | |
| Nurse Practitioner | WA |
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